Friday, May 20 2011
Whilst discontent with services for people with a disability and their families remains fragmented, governments need do little.
Government bureaucrats say, “You all need to be on the same page to get our attention. We see the majority saying little or nothing, so we see them as content. We see just the fragmented few with concerns - So we must be doing fine!”
Thursday, May 19 2011
There are a number of people with disabilities who have had ISP's (Individual Support Packages) which are supposed to be funded individually rather than "block" funding. This was to make them more flexible and transportable and thus individual. Does anyone know the total of ISP's awaiting funding? How many people are stuck in "limbo" awaiting the painful bureaucratic process?
Wednesday, May 18 2011
Manage or Supervise without conflict is a traditional public sector management issue avoidance tool, allowing managers and/or supervisors to maintain their comfort zone and avoid the need to use fortitude and effective man-management practices to set, monitor and maintain direct care staff work value expectations necessary to ensure service level and quality is within care policies, standards, values, guidelines and community expectations.
Manage and Supervise without conflict philosophy allows the managers and/or supervisors of government direct care services in Victoria, for people with an intellectual or multiple disability, to ensure that they are always considered nice people by their direct care staff, being content to reduce service standards to clients/residents, rather than risk having discontented staff.
The majority of the residents of government direct care supported accommodation services have insufficient capacity to effectively question their service level and quality standards. And most advocates have been driven away by the overwhelming and long standing ability of government departments to treat customers with contempt, saying that any complaint they may have is just their opinion.
Monday, May 16 2011
It is a priority to ensure that all individuals [clients/residents] we are supporting are actively included and involved in all activities within the environment. They are the priority focus of the activity, ensuring we are providing every opportunity for them to achieve the best possible outcomes of the experience.
Ensure people sitting beside each other are well suited.
When 2 staff, or more, are travelling in the vehicle, at least one must be in the back with the passengers, for safety reasons and to enhance communications.
Ensure you let them, passengers/clients/residents, know where you are going and why. Remember to include all individuals, passengers, clients, residents. in discussion when you are travelling.
Communicating with them, passengers, clients, residents, often in regards to where they are and what is around them. This helps individuals s] to obtain the most out of the opportunities they are provided with, as well as ensuring people are actively involved and enjoying themselves.”
Please talk to all the individuals about their day etc.
The above steps will help to ensure that all people achieve a positive and productive activity/day.
Wednesday, May 11 2011
(We are seeking views and comment on this - via our Email or Mail)
Caring parents having a son or daughter with an intellectual or multiple disability need to live for ever because almost all services, supported accommodation, in-home support, respite day services, sheltered workshops, education, etc, etc cannot, at present, be relied upon to get it right for those with little or no ability to adequately advocate for themselves.
These are just some of the reasons why! (If you know more, let us know):
- Clothes being mislaid or lost, even when clearly marked.
- Wearing the same shoes all the time, especially runners ( when has a range of shoes)
- Washing quality poor - stains frequently not removed with Preen – woolens ruined in hot water, etc, etc.
- Clothes not ironed, or consistently ironed.
- Inappropriately dressed for the weather and environment.
- Generally, poorly dressed.
- Bed made up when wet.
- Top sheet not consistently put on bed.
- Manchester and towels in poor condition.
- Meals poor – lots of takeaway
- Cut lunches, for day activities, poor.
- Poor grooming, including teeth cleaning and nail cutting.
- Shoes not cleaned.
- Reluctance to use generic services for medical, hair care, etc, etc.
- Very little meaningful interaction, developmental and social activities – loss of skills.
- Failure to make or attend medical and dental appointments – Not in the staff diary, no one read the diary, or no staff wanted to go.
- Casual staff sent with resident to medical appoints, because regular staff don’t want the bother
- Staff infrequently attending a resident admitted to hospital.
- Resident's injuries frequently not noticed, treated or reported.
- Reluctance to treat minor abrasions and rashes.
- Residents needs have to fit in with staff needs, mood and availability.
- Delays in taking residents to a doctor (Example: Sector manager visiting a CRU on a Friday, observed a resident with a streaming cold. On asking when the resident will be taken to a doctor, the staff said, “On Tuesday when his key worker is back!”
- The “Key Worker” is intended to represent the resident’s interests with the service provider, especially where the resident has no family or effective family. Yet key workers frequently do little more than the average workers (staff). And the key worker’s loyalty is naturally with their employer – the service provider.
- A “Case Manager” is also intended to represent the resident’s interests with the service provider. Again, the case manager is employed by the service provider!
- Apart from parents, family and friends, there is little provision for purchasing or replacing items and equipment which would help to enhance the resident’s lifestyle. The resident’s finances build year after year, with the resident having few possessions. Whereas, most residents can benefit from such items as, a trampoline, an exercise bike, balls, talking toys, communication aids, TV, video recorder, drawing boards, etc, etc.
- Staff loaned a resident’s radio to another resident for an extended period, without consulting the parent of the resident to who the radio belonged. The resident to whom the radio belonged had no meaningful communications.
- Staff threw all washing in together, into the industrial washing machine – colours, whites and soiled clothing!
- Staff refused to soak stained clothes in Napisan, just sent it to the mother of the resident to deal with.
- Resident’s rooms and windows frequently dirty.
Tuesday, May 10 2011
(We are interested in feedback on the following, via our regular Email addresses or mail if you wish anonymously. Our mail address is on this website)
What makes a “Supported Accommodation Group Home” – Good?
In general terms:
Direct Care Staff:
- A supported accommodation group home means: “A regular house in the community, with up to six residents having an intellectual or multiple disability, and a number of support staff depending on resident needs”.
- Service providers try to ensure the residents are reasonably compatible, to help ensure care level and quality is balanced between all residents, and that residents complement each other.
- The type and level of care must be related to the residents’ ability, and directly proportional to their needs.
Factors of Care:
- Need to be qualified, trained, motivated and remunerated to self monitor outcome expectations of care being provided in accordance with community expectations of the care of vulnerable people, and in accordance with recognised service provider and government care policies, standards and values.
- Need to have an attitude that the group home is the residents’ long term home, and not primarily their workplace.
- Need to consider the residents as their second family.
- Need to work as a team.
- Need to adopt a balanced role between domestic duties and the need to interact with residents
- Care is fundamentally within two factors: “Basic Care” and “Quality of Life Care”
- Basic care: Is that of providing basic human needs – Food and Drink, Sleep, Hygiene, clothing etc.
- Quality of life care: Is that of ensuring the person has as meaningful a lifestyle as their ability will allow, through interaction, developmental and social activities by direct care staff providing person centered active support and positive behaviour support.
- Care must be “Quality of Life” not “Basic Minder Care
Sunday, May 08 2011
Any level of intellectual disability potentially reduces a person’s ability to be involved in the overwhelming range of constructive, recreational and educational activities the general community takes for granted.
The overall lifestyle quality of those with an intellectual disability living in supported accommodation is directly proportional to the quality and integrity of the support service and its staff.
Having direct care support staff who are either “minders” or “carers”, means the difference between “looking at four walls” and having an expanding quality lifestyle.
Sunday, May 08 2011
Government Direct Care Services are Fire Proof
Mother blocked by VCAT (Victoria)
The best place for family members with a disability, is to living with their family.
Despite advances in medical science, parents do not live forever, or are able to provide care for ever.
At some point, parents have to make that dreadful decision of relinquishing care of their vulnerable family member to “paid strangers” - as Michael Kendrick says.
Having reluctantly made the decision, caring parents naturally look for every avenue to monitor their family member’s quality of life.
In most supported accommodation group homes, these are a number of avenues which can assist parents to ascertain the level and quality of care being provided behind those closed doors. Unfortunately, many are not made available to parents for bureaucratic and so called privacy reasons. Progress notes are the most obvious avenue, if you can get access to these.
As these were blocked from this mother by the government direct service provider, she took the matter to the “Victorian Civil & Administrative Tribunal (VCAT)”, where she was, again, blocked from access to her family member’s “Progress Notes” on the grounds she would use them to scrutinise the government’s service provision.
Wednesday, May 04 2011
"INDEPENDENT MONITORING OF SERVICE LEVEL & QUALITY"
Information on the audit of DHS supported accommodation group homes (Disability) by one of the contractors listed below.[/b]
Disability service providers (DHS) are required to be certified as compliant by 31 December 2012.
The Independent Monitoring process, which verifies if a disability service provider meets the relevant performance measures in respect of the Standards for Disability Services in Victoria, involves two stages. It started, 25 October 2010, and is due for completion 31 December 2011.
Stage one: Consisted of a review of policy and procedure, and did not involve the visiting of group homes.
Stage two: The monitoring process is due to occur in June/July 2011, and will involve visiting a group of homes selected as a representative sample.
As the sampling exercise has not yet been undertaken by the auditor it is not possible to advise you whether 25 Peugeot Pursuit, Mill Park will be one of the group homes audited.
- BSI Group (Australia & New Zealand) Pty Ltd
- Global-Mark Pty Ltd
- Health and Disability Auditing Australia Pty Ltd
- International Standards Certifications Pty Ltd
- NCS International Pty Limited
- SAI Global Certification Services Pty Ltd
Certification audit against the Quality Standards for Disability Services in Victoria as per JAS ANZ Procedure 34.
LISA Inc suggests that as there is no formal indication of parents/families being consulted, parents/families with a family member living in a DHS group home should ascertain which of the above contractors has be allocated to accredit the group home in which their family member is living.
If not provided with this information on making a request of the Regional Director, make an FOI request to: Manager, FOI Department, Department of Human Services, 50 Lonsdale Street, MELBOURNE 3000.
Having ascertained your contractor, any concerns you may have about the care of your family member can be presented to the contractor.