Disclaimer Published by Disability Services Division Victorian Government Department Of

Disclaimer
Published by Disability Services Division
Victorian Government Department of Human Services

Melbourne Victoria Australia

July 2007

2nd edition April 2009

This publication is copyright. No part may be reproduced by any process except in accordance with the provisions of the Copyright Act 1968.

Also published on www.dhs.vic.gov.au/disability

Authorised by the Victorian Government, 50 Lonsdale Street, Melbourne

Residential services practice manual – iv

Issued / Review date
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Preface: Promoting positive practice

/ April 09 / Aug 2011

1:

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Introduction and context

1.1:

About the Residential Services Practice Manual

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1.2:

Duty of care in residential services

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1.3:

Government policies

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1.4:

Disability Act 2006

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1.5:

Quality Framework for Disability Services in Victoria

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1.6:

Complaints

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1.6.1: Responding top complaints made to the department

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1.6.2: The Disability Commissioner

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1.7:

Community Visitors

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Working for DHS

2.1:

Conditions of employment, rights and responsibilities

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2.2:

Learning, development and support

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2.3:

Conflict, Grievances and unacceptable behaviour

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2.4:

Support for employees

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2.5:

Managing work performance and conduct

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Ensuring a safe environment

3.1:

Occupational health and safety

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3.2:

Workplace safety inspections

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3.2.1: Maintenance and repairs

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3.3:

Manual handling

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3.3.1: Purchasing manual handling aids and equipment

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3.4:

Occupational violence

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3.5:

Vehicle safety

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3.6:

Hazardous substances

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3.7:

Smoke-free environment

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3.8:

Fire and emergency procedures

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3.9:

Electrical safety

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3.10:

Infection prevention and control overview

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3.10.1: Standard precautions

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3.10.2: Body fluid spills and personal hygiene support

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3.10.3: Infectious disease outbreak and additional precautions

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3.11:

Food safety

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3.12:

First aid and cardiopulmonary resuscitation

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3.13:

Issue resolution

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3.14:

Disease, Injury and near miss and accident (DINMA) reporting

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3.15:

Serious incident notification to Worksafe Victoria

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Person-directed practice

4.1:

Entry, exit and relocation in residential services

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4.1.1: Respite entry

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4.2:

Decision making and choice

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4.2.1: The role of a guardian

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4.2.2: The role of an administrator

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4.2.3: Decision-making in a group environment

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4.3:

Planning

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4.4:

Person Centred Active Support

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4.5:

Promoting community inclusion

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4.6:

Personal relationships and sexuality

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4.7:

Transport

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4.8:

Holidays, overnight stays and outings

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4.9:

Cultural and linguistic diversity (CALD)

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4.10:

Complex communication needs

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4.11:

Personal privacy and entry to a person’s room

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4.12:

Bathing and showering

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4.13:

Grooming and dressing

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4.14:

Overnight monitoring

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Health and wellbeing

5.1:

Promoting health

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5.1.1: Promoting physical activity

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5.1.2: Promoting healthy eating

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5.1.3: Promoting mental health and wellbeing

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5.1.4: Reducing tobacco-related harm

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5.1.5: Minimising harm from alcohol

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5.1.6: Sun exposure

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5.2:

Developing a health plan

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5.3:

Annual health review

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5.4:

Attending health appointments

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5.5:

Consent to medical and dental treatment

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5.6:

Medication

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5.6.1: Authorisation and review of medication

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5.6.2: Obtaining and storing medication

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5.6.3: Administration of medication

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5.6.4: Recording and communicating about medication

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5.6.5: Medication when the person is away from home

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5.6.6: Problems with medications

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5.7:

Nutrition and swallowing

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5.8:

Weight monitor

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5.9:

Supporting a person to eat

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5.10:

Oral health

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5.11:

Menstrual management

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5.12:

Continence

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5.13:

Specific health procedures

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5.13.1: Supporting a person with epilepsy

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5.13.2: Managing pressure sores

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5.14:

Managing poor health

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5.15:

Hospital admission

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5.15.1: Hospital discharge

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5.16:

Palliative care

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Records and procedures

6.1:

Introduction to public records

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6.1.1: Records kept by residential services

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6.1.2: Client Relationship Information System (CRIS)

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6.1.3: Access to personal information

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6.1.4: Freedom of information

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6.1.5: Storing, maintaining, moving and archiving files

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6.2:

Client Expenditure Recording System (CERS)

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6.3:

Handling funds in respite services

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6.4:

Reporting incidents

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6.5:

Damage caused by people living in residential services

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6.6:

Missing people

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6.7:

Responding to physical and sexual assault

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6.8:

When a person dies

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6.9:

Wills and deceased estates

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Behaviours of concern and compulsory treatment

7.1:

The Senior Practitioner

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7.2:

Restrictive interventions

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7.3:

Compulsory treatment

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7.4:

Behaviour management planning

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Residential services practice manual – iv

Preface: Promoting positive practice

Issued: April 2009

Contents

/ The aim of accommodation services
/ Staff role
/ Victorian Charter of Human Rights and Responsibilities
/ Underpinning requirements for practice
/ Person Centred Active Support is the key
/ Resources

The aim of accommodation services

/ The aim of Shared Supported Accommodation Services is to enrich the quality of life of people with a disability who live in them.

Staff role

/ On a daily basis the role of all disability services staff is to provide skilled support to use every available daily opportunity to actively promote people’s:
· participation in household and community activities
· relationship building with other people
· choice in all aspects of decision making that affects them
· dignity and respect in all aspects of their lives
· skills that are used and developed to create achievement.
The Residential Services Practice Manual provides instruction and information based on these underpinning practice requirements.

Victorian Charter of Human Rights and Responsibilities

/ DHS staff should be aware that they must comply with the rights contained in the Charter of Human Rights and Responsibilities. The Disability Act 2006 has been assessed for compliance with the Charter. In most instances, as long as staff act in accordance with this Manual and the Act, they should be confident that they will be complying with the Charter.
The following Charter rights are the most likely to be relevant for residential services:
Recognition and equality before the law
In residential services this may include for example:
· having a current residential statement
· the right to make a complaint
· the right to an independent third person and legal advice if accused of a crime
· the right to legal advice and assistance if the victim of a crime.
Protection from torture and cruel, inhuman or degrading treatment
In residential services this may include for example:
· being spoken to and acted towards as an adult not a child
· being treated with respect
· being informed of activities and actions to be performed by staff, for example when being assisted with meals or personal care.
Privacy and reputation
In residential services this may include for example:
· physical privacy, where possible, during personal care
· information is only shared to enable support and protect wellbeing and never as gossip
· being spoken about only as required and always with respect.
Cultural rights
In residential services this may include for example:
· respecting and supporting cultural identity and traditions
· respecting and supporting religious identity and traditions.
Right to liberty and security of the person
In residential services this includes:
· supporting freedom of movement within the residential setting and the community unless restriction is authorised according to section 7 of this manual.
The Residential Services Practice Manual provides information and instructions that promote human rights and responsibilities.

Underpinning requirements for practice

/ All staff are required to work according to the department values, which are contained in the booklet Our Values, the Code of Conduct for Victorian Public Sector Employees and duty of care requirements. Our Values provides clear information that encapsulates these requirements:
Client focused
· In Disability Accommodation Services this means using Person Centred Active Support to provide life experiences and opportunities in a positive and least restrictive way.
· Provide support free of personal bias, for example the support does not influence or judge lifestyle choices such as religious belief or sexuality, or decisions legally made by the person and their family such as not for resuscitation orders.
Responsibility
· For support staff this means making decisions within the scope of their role.
· Reporting issues including suspicion of abuse or neglect and seeking assistance when unsure.
· Taking responsibility for decisions and work undertaken.
Collaborative relationships
· This means working as part of a team which includes managers, work colleagues, residents, family members, other service providers and the community.
· Support staff provide assistance to residents and colleagues to be the best they can be.
Professional integrity and respect
· Support is provided within the scope of the staff role with a focus on resident’s wishes and practice and policy requirements.
· Identify possible conflicts of interest and ensure these are managed or avoided.
· Respect is shown to residents, families, colleagues, other service providers and members of the community.
· Communication is open and information is shared as required to ensure residents are supported at home and while attending other services.
Quality
· Support staff work to the best of their ability and set an example to others.
· Support staff do not accept near enough as good enough from themselves or colleagues.

Person Centred Active Support is the key

/ Person Centred Active Support (PCAS) is a system of planning, method of working and a system of recording that enables people with a disability to fully participate in life. This approach means support staff provide the level support required by a person to maximise participation in all life areas. PCAS is the required support framework for all department managed accommodation services. It provides guidance and evidence that people are being provided with support in a way that promotes quality of life outcomes. PCAS and the Quality Framework for Disability Services in Victoria have parallel individual outcome requirements.
There are five key life areas to address when planning with and supporting people in residential services. The five Individual Outcomes Standards from the Quality Framework are:
· Individuality - each person has goals, wants, aspirations and support needs and makes decisions about their life.
· Participation - each individual is able to access and participate in their community.
· Capacity - each individual has the ability and potential to achieve a valued role in the community.
· Citizenship - each individual has rights and responsibilities as a member of the community.
· Leadership - each individual informs the way that supports are provided.
Support staff should refer to the resource guide Understanding the Quality Framework for Disability Services in Victoria for definitions and further information about the standards.

Resources