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LEARNER RESOURCE
CHCCCS025 Support relationships with carers
and families
TABLE OF CONTENTS
TABLE OF CONTENTS........................................................................................................................................ 2
UNIT INTRODUCTION ....................................................................................................................................... 4
ABOUT THIS RESOURCE ...................................................................................................................................... 4
ELEMENTS AND PERFORMANCE CRITERIA ....................................................................................................... 5
PERFORMANCE EVIDENCE AND KNOWLEDGE EVIDENCE ................................................................................. 6
PERFORMANCE EVIDENCE......................................................................................................................................... 6
KNOWLEDGE EVIDENCE ............................................................................................................................................ 6
ASSESSMENT CONDITIONS .............................................................................................................................. 8
TOPIC 1 – INCLUDE CARERS AND FAMILY MEMBERS AS PART OF THE SUPPORT TEAM ................................... 9
INTRODUCTION ....................................................................................................................................................... 9
ASSESS AND ACKNOWLEDGE THE ROLE AND IMPORTANCE OF CARERS AND FAMILY MEMBERS FOR THE
PERSON ......................................................................................................................................................... 10
WORK IN A MANNER THAT RECOGNISES AND SUPPORTS CARER’S RELATIONSHIP WITH, AND KNOWLEDGE
ABOUT, THE PERSON WITH SUPPORT NEEDS AND IDENTIFY THE KNOWLEDGE AND SKILLS OF THE CARER
THAT COMPLEMENT THE ROLE OF THE WORKER ........................................................................................... 11
RESPECT FOR THE CARER......................................................................................................................................... 12
NEEDS THAT IMPACT ON THE FAMILY MEMBERS .......................................................................................................... 12
PRIVACY AND CONFIDENTIALITY OF CARER .................................................................................................................. 13
INVOLVE CARERS AND FAMILIES IN THE DESIGN AND DELIVERY OF THE PERSON’S SUPPORT SERVICES ........ 14
PLANNING ACTIVITIES ............................................................................................................................................ 14
RESPECT AND INCLUDE THE CARER AS PART OF THE CARE TEAM ....................................................................................... 15
IDENTIFY CARER ISSUES........................................................................................................................................... 16
FIND SOLUTIONS TO ISSUES ..................................................................................................................................... 17
RECOGNISE AND SUPPORT THE CARER'S RELATIONSHIP WITH AND KNOWLEDGE ABOUT THE PERSON WITH SUPPORT NEEDS ......... 18
TYPES OF SERVICE DELIVERY APPROACHES .................................................................................................................. 18
RIGHTS-BASED APPROACH ...................................................................................................................................... 18
PERSON-CENTRED PRACTICE .................................................................................................................................... 19
STRENGTHS-BASED APPROACH................................................................................................................................. 19
ACCESS AND EQUITY............................................................................................................................................... 19
TOPIC 3 – MONITOR AND PROMOTE CARER RIGHTS, HEALTH AND WELL BEING ........................................... 28
RESPECT THE CONFIDENTIALITY AND PRIVACY OF THE CARER, AS WELL AS THE PERSON WITH SUPPORT
NEEDS ............................................................................................................................................................ 28
DUTY OF CARE REQUIREMENTS ................................................................................................................................. 28
ORGANISATIONAL CODE OF CONDUCT ........................................................................................................................ 29
ORGANISATIONAL REQUIREMENTS ............................................................................................................................ 29
PRIVACY .............................................................................................................................................................. 30
CONFIDENTIALITY .................................................................................................................................................. 30
PROVISION OF SERVICES ......................................................................................................................................... 31
CURRENT BEST PRACTICE APPROACHES FOR SERVICE DELIVERY ........................................................................................ 31
LEGAL AND ETHICAL CONSIDERATIONS ....................................................................................................................... 32
Discrimination ............................................................................................................................................. 32
Dignity of risk .............................................................................................................................................. 33
Duty of Care ................................................................................................................................................ 33
Human rights, including the United nations convention on the rights of persons with disabilities (UNCRPD)
.................................................................................................................................................................... 33
Mandatory reporting .................................................................................................................................. 33
Privacy, confidentiality and disclosure ........................................................................................................ 34
work health and safety................................................................................................................................ 34
Principles of empowerment ........................................................................................................................ 35
IDENTIFY AND RESPOND TO THE NEED FOR SERVICES REQUIRED BY THE CARER AND ISSUES THAT MAY
IMPACT ON THE PHYSICAL AND EMOTIONAL HEALTH AND WELL BEING OF THE CARER ................................ 35
PROVIDE CARERS AND FAMILIES WITH INFORMATION ABOUT CARER SUPPORT SERVICES ........................... 37
SUMMARY ..................................................................................................................................................... 39
REFERENCES................................................................................................................................................... 40
UNIT INTRODUCTION
This resource covers the unit CHCCCS025 Support relationships with carers and
families.
This unit describes the skills and knowledge required to work positively with the carers
and families of people using the service based on an understanding of their support
needs.
The skills in this unit must be applied in accordance with Commonwealth and
State/Territory legislation, Australian/New Zealand standards and industry codes of
practice.
This resource brings together information to develop your knowledge about this unit.
The information is designed to reflect the requirements of the unit and uses headings to
makes it easier to follow.
Read through this resource to develop your knowledge in preparation for your
assessment. You will be required to complete the assessment tools that are included in
your program. At the back of the resource are a list of references you may find useful to
review.
As a student it is important to extend your learning and to search out text books,
internet sites, talk to people at work and read newspaper articles and journals which
can provide additional learning material.
Your trainer may include additional information and provide activities. Slide
presentations and assessments in class to support your learning.
2. Assess and respond to 2.1 Assess potential risks of change to the care
changes in the care relationship including any potential physical and
relationship psychological harm to carers and the person
3. Monitor and promote carer 3.1 Respect the confidentiality and privacy of the
rights, health and well being carer, as well as the person with support needs
PERFORMANCE EVIDENCE
The candidate must show evidence of the ability to complete tasks outlined in elements
and performance criteria of this unit, manage tasks and manage contingencies in the
context of the job role. There must be evidence that the candidate has:
Assessed and responded to the needs of at least 3 different people and their
carers or family members
Used strengths-based solutions to respond to both routine and unpredictable
problems related to care relationships
KNOWLEDGE EVIDENCE
Different family patterns and structures and their impact on the person
Life cycle transitions:
o Types of transitions
o Positive and negative impacts
Current service delivery philosophy and models:
o Basic principles of person-centred practice, strengths-based practice
and active support
o Strategies to work positively with families, carers and friends
Organisation policies and procedures in relation to carers and families
Legal and ethical requirements for working with carers and families and how
these are applied in an organisation and individual practice, including:
o Discrimination
o Privacy, confidentiality and disclosure
o Work role boundaries – responsibilities and limitations
ASSESSMENT CONDITIONS
Skills must have been demonstrated in the workplace or in a simulated environment
that reflects workplace conditions. The following conditions must have been met for this
unit:
Assessors must satisfy the Standards for Registered Training Organisations (RTOs)
2015/AQTF mandatory competency requirements for assessors.
The carer’s role in the assistance of people with disabilities, mental illness and those
people who are ageing is a vital part of the care process in Australia and without them
the health care for these people would be far greater. People who need care benefit
greatly from families and friends who care for them as they are more likely to be able to
remain in the home and more independent.
ABS surveys and other sources have shed some light on carers in Australia. By better
understanding carers' characteristics and demographics, we are better able to provide
advocacy and advice to support them.
There are many challenges to being a primary carer for a family member or friend. In
very few instances do people go into a relationship expecting to be the one responsible
for the intimate care of another person. Many people embrace the challenge and set out
to learn as much useful information as possible to help them in their new role. Others
struggle with the challenge and may well be negatively impacted physically and
emotionally as their personal resources are drained. Many carers perform the role for a
large part of their life.
Parents are generally prepared to nurture their newborn offspring until the time they
become independent and are subsequently faced with a range of emotions when a child
is born that may require ongoing care for life. The emotions they will experience can
vary from grief and loss to sadness, resignation, anger and bitter disappointment that
life has dealt them such a blow.
For a person who has acquired a life changing injury the adjustment to being dependent
on another for care can be devastating. Combined with the change in their role in the
family, the situation can be very demanding for all involved. A formerly capable adult
may become dependent on a spouse or child to assist with their activities of daily living.
The new carer may be uncomfortable with their new role and the change in the family
dynamic.
For older people, providing care for a partner or adult child can be fraught with
challenges as the carer themselves age. The physical demands on an ageing body can
result in injuries to the carer and risk to the person they care for. The difficulties of
caring for a partner with dementia or who is dying are well documented. The emotional
1 http://www.carersaustralia.com.au/about-carers/statistics/
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Responsibility: Director of Studies Developed by Enhance Your Future Pty Ltd
Melbourne City College Australia RTO No: 45140 CRICOS: 03592B ABN: 77 602 164 625
CHCCCS025 Support relationships with carers
and families
reaction to watching someone you have spent a lifetime with slowly fade away can be
heart wrenching.
In your role, as a worker in any aspect of the care industry, it is vital to recognise the
contribution of the primary carer and the significance of their relationship to the person
they care for. In some instances they may also be the decision maker for your client.
Where the client is capable of making their own decisions then their relationship with
the primary carer needs to be clarified with you. You will need to know if the carer is to
be involved in decisions on a day to day basis or if there needs to be a consultation
process on aspects of the care provided. The client may establish goals and wishes but,
without the support and cooperation of the carer, these may never be achieved.
For some carers there is the dual responsibility of caring for older people while still
raising their own family.
In all your interactions you will need to recognise and respect the importance of the
relationship between the client, their family and their friends. All care situations need to
be handled with sensitivity as the wellbeing of the client can be directly impacted by the
relationships you develop with their significant others.
One of the greatest concerns facing people who take on the role of carer is the need to
suddenly develop new skills. This can be especially challenging for someone who has
never been called on to act in the role before. Shopping, housework, cooking and
performing personal care tasks may stretch the abilities of a person who has rarely
performed these tasks previously. The need to carry out duties formerly the province of
nurses, such as giving injections, administering medication, catheter care etc can be a
terrifying experience for a primary carer newly thrust into the role.
Your role as a care worker is to support the carer in their role while recognising and
acknowledging the work that they do. It is important to develop a relationship of trust
and work together to achieve the best outcome for the client. You will also need to
ensure the carer has the support they need to continue in their role.
As a worker you may be asked to perform tasks outside your role and responsibilities.
You must be courteous in your refusal but recognise that the carer may require further
support from an external source. Always document such incidents and requests and
provide feedback to your supervisor in case further assistance needs to be offered to the
carer or the care plan modified to include additional tasks.
There is also the risk as a worker that you may be tempted to underestimate the
abilities of a carer. This is particularly apparent when a child or young person takes on
the role of primary carer. In nearly 400 000 instances in Australia care is provided by
children or young people where there are other factors that mean an adult is not
available. This can be due to family circumstances, financial difficulties, geographical
location or relationship breakdown. Take care in these instances that you respect what
the young person does and clarify with them your own role in providing care. Confirm
with your supervisor that the young carer has been included in discussions around the
development of the care plan and that you are both clear about the limits of your role.
Increasingly the significant role of the carer is recognised by the government and the
community. It has now been identified that the health and wellbeing of the carer is a
primary factor in the provision of quality care to the client. To this end steps must be
taken to ensure the needs of the carer are met.
One of the needs most commonly expressed by carers is that for information and
education. In 2009 studies conducted in Australia showed that, particularly among
elderly carers, there was a generally dismissive attitude to their request for quality
information on aspects of their role. This is a particular problem where training is
required in aspects of technical care or medication administration. Your knowledge of
services available through your organisation or the resources in the local community
can be an invaluable support to your clients and their carers. A call to the Department of
Human Services can often be a good start to accessing relevant information on payment
entitlements and services.
For some carers their role means an increasing restriction on their ability to socialise or
participate in the workforce due to their carer responsibilities. Short term respite in the
home, day activity centres or longer term respite in a care facility can help provide the
carer with the break they need while still providing for the needs of the client. This can
give the carer the opportunity to participate in employment or social opportunities.
To review details and amendments of these and more visit the ComLaw website at
www.comlaw.gov.au
Remember, you are bound by law to comply with The Privacy Act 1988 and its subsequent
amendments, by maintaining the privacy and confidentiality of your client, their carer and
their information.
Not discussing the client's information with anyone you are not authorised to.
This includes relatives and friends of the client not identified in the care plan
Taking care to secure any written information you have regarding the client
and their care as per your organisation's policies and procedures
Checking with your supervisor and the client when you have concerns about
who to give information to
Maintaining the carer's information with the same respect as that of the client
Documenting any concerns or observations of the carer that could indicate they
may require more assistance
PLANNING ACTIVITIES
As a care worker your opinion will be sought when reviews are made to the client's care
plan. The client, their case manager and the primary carer will be involved in identifying
and establishing goals for the future and discussing what is working well and what areas
need to be adjusted to meet the needs of the client and their carer. Your recorded
observations and comments are an important part of this discussion. In the HACC
environment you are often the link between the family and your organisation and the
first person to identify when areas of concern may be developing.
This 'team approach' to providing care is extended into all your interactions with the
client. When planning any activities with the client the involvement of the carer should
be identified and acknowledged by you. This will be influenced by the client's capacity to
make decisions on their own behalf and you will need to use your judgement when
determining this. Your ability to involve the carer as part of the care team is especially
important where you are working in the home. While it is your workplace it is the
personal space of the people you are working with and should be respected as such.
A discussion you should initiate with the client and their carer is regarding fire safety in
the home. As it is your workplace while you are with the client there needs to be a plan
in place to ensure your safety in the event of a fire. This is important also in terms of
evacuating the client, their carer and other family members whether you are there or
not. Your discussion should include:
You may find your organisation has prepared information for you to give to the client
and their carer regarding safety in the home.
It is important to recognise that decisions made on any aspect of care by Aboriginal and
Torres Strait Islander clients can often involve consultation with extended family and
social networks. Respect should be shown for the decision making process and the
wishes of the client upheld in this regard.
As a professional care worker it is important that you treat the carer as a co-contributor
to the care of the client. When working with your client you may find that the carer is
unwilling to relinquish their role to you in any way. Others may stand back and wait to
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Responsibility: Director of Studies Developed by Enhance Your Future Pty Ltd
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CHCCCS025 Support relationships with carers
and families
be invited to contribute. It is vital that you establish a good rapport with your client and
their carer to enable everyone involved to identify their role and be comfortable in this
important relationship.
Where the client does not want the carer involved in an aspect of their care then treat
the matter sensitively. An example may be an elderly person being showered by their
son or daughter. One or the other may feel embarrassed or uncomfortable with this
intimate aspect of their care and you will need to handle the situation with care and
respect.
Each situation will be different and this is one of the challenges of working in the care
industry. Your excellent communication skills and respectful manner will mean you will
quickly identify the levels of involvement that are comfortable for you, the carer and
most importantly, the client.
As identified previously, the support the primary carer provides is vital in economic
terms for the government and to the wellbeing of the client. It is therefore critically
important to maintain the health and wellbeing of the primary carer.
The support you offer in this regard cannot be understated. As the care worker you will
be in a unique position to identify when a carer is experiencing ill health, injury or stress
related to, or impacting on, their role as the primary carer for your client. It is important
to record your concerns and observations and report to your supervisor as soon as
practicable.
Carer burnout is a real concern in the support of those who are ageing or living with a
disability. There are many carer support groups and networks available to provide
information and assistance to carers at risk.
Your well-developed communication skills, and the rapport you have developed with
them, will form a good basis to initiate conversations with the client and their carer on
aspects that may need to be discussed. What may seem an overwhelming issue initially
may be addressed quite simply with some modification to the care plan or by providing
helpful information.
Using a strengths-based approach may seem counter intuitive when the focus on most
of the care delivered appears to be on 'what's wrong' with the client or situation. By
taking a different approach and focusing on 'what's right' a more respectful,
empowering approach to problem solving can take place. This gives the people involved
the opportunity to control their lives in meaningful and sustainable ways.
For example, a client rejoining the workforce may simply need assistance with their
activities of daily living at a different time of day. If the primary carer is also the mother
of young children then this could place additional strain on the carer in the early
mornings. A solution to this might be an adjustment to the care plan with a care worker
allocated for the new time required. Be supportive and remind the client and carer they
are managing other aspects of their lives very well. A degree of flexibility is essential in
care planning to meet the changing needs of carers, clients and family.
A primary carer undergoing surgery may be able to access respite care for the client
while they recover post operatively. This will give the carer the time and rest they need
to recover and provide for the care needs of the client in the short term. Your
organisation will have information you can provide to the carer and client to help them
in the decision making process regarding options for respite care.
It is important that you identify any concerns either the client or carer may have and
invite them to suggest solutions, or what strategies they would like to see put in place,
before offering your thoughts on the matter.
Respect in all dealings you have with the carer is significant in maintaining a good
relationship. Where they are the primary decision maker for the client you should
always defer to their wishes regarding client care providing there is no risk to you or the
client.
Seek the carer's guidance when delivering services to your client. The carer is most
likely to have a thorough understanding of the preferences and idiosyncrasies of how
the client 'likes things done'. They are also an excellent source of tips for encouraging a
client who may be having a bad day, is not well or is unwilling to cooperate.
The primary carer is usually the first to notice when the person they care for varies from
their normal behaviour or demeanour. Their observations and insights are an invaluable
source of information on what is happening with your client's overall health and
wellbeing.
It is essential that all of the service delivery options and responses to the client are
developed specifically for their individual needs and ensuring that all of their rights,
needs and preferences are met by the options.
RIGHTS-BASED APPROACH
Rights based approaches in community service are focused on ensuring that all of the
rights of all clients are upheld at all times. It is essential to ensure that all rights of the
client are known, explained to the client and then upheld at all times.
PERSON-CENTRED PRACTICE
STRENGTHS-BASED APPROACH
It is important for the community services worker to develop a relationship with the
client that allows them to understand what motivates and inspires the client and where
the clients develops their own feeling of strength and energy from. These positive
feelings and characteristics must be celebrated and harnessed in order to activate the
strength and energy that a client will require access to in order to be successful over a
long period of time and achieve their goals.
Access and equity is the act of promoting fairness while distributing resources and
opportunities, particularly to those in need. While working in community development,
in order to adhere to the principles of access and equity, the following guidelines should
be considered:
While many carers cope well with their role and provide excellent care to their loved
one there are times when their own needs and preferences are in conflict with the
client's. Some of these have been previously discussed.
Affirmation
Choice about involvement in specific aspects of care
Education
Inclusion
Information and referral
Peer support
Recognition
It is important that the carer be recognised for the role they play. Where the client is
unable or unwilling to pay tribute to the efforts of their carer your role in affirming their
worth will go a long way to lifting their morale and self-esteem. Ensuring the carer does
not become isolated in their role, that they are aware of support networks in their area
and that time is allocated for their self-care are practical steps you can address to
maintain their wellbeing and ensure their needs are being met.
FINDING A SOLUTION
Where a carer has expressed a need to become involved in an area outside of caring for
your client then reasonable steps should be taken to accommodate them. A desire to
enrol in further education, for example, may require an amendment to the times you
have been allocated to be with the client. Where set hours for attending classes can be
established then your organisation will take steps to amend the personalised care plan
to see that a care worker will be there to provide the respite care required to enable the
carer to participate in the education opportunity.
When the primary carer is involved in raising children or caring for the elderly as well
as their primary care responsibilities to your client then you need to be aware of the
effect these competing demands can have. Allocating time for specific responsibilities
such as taking a parent to an appointment and out to lunch or taking a child to dance
class then out for an ice-cream, can greatly contribute to maintaining healthy
relationships and the overall happiness and wellbeing of the carer.
Provide the carer with the opportunity to discuss with you any areas of concern in their
own life that impact on their ongoing ability to fill the carer role effectively. By having a
thorough knowledge of the services and supports your organisation provides, or those
available in the community, you will be able to provide assistance to the carer when
they need it most. Liaise with your supervisor to identify what assistance can be offered.
Over time the care relationship may change for a variety of reasons. The care may no
longer be required by the client as they mature, learn new skills, adapt to their disability
or deteriorate to the point where they require full time care in a facility or die. No
matter the situation, you, as a care worker, need to recognise the effect these changes
may have on the carer and support both them and the client in any decision making
process.
This can be particularly difficult for a parent who has cared for a child living with a
disability. While the autonomy of the child is the most important factor you should
recognise the internal struggle this might pose for the parent. Recognising that their
adult child may leave home as any person would; may not be something they had
thought about. It could require modification to an environment designed to support
them or financial independence the parent had not previously considered possible.
Where care is provided by an older person to their ageing spouse there is well
documented evidence of the emotional stages the carer may go through as they watch
their loved one deteriorate. Some close relationships are maintained throughout but
others are lost and the carer left with a feeling of resentment as the person they knew
and loved becomes increasingly consumed by ageing or disease.
Children and young people may feel increasingly constrained by their care
responsibilities as their need for social and emotional relationships changes over time.
While the client may be encouraging of these changes, the carer may feel guilty about
abandoning the client and the resulting tension can be reflected in a strained
relationship between them.
For many reasons a primary carer may not be able to continue in their role. Some
reasons may include:
As a child with a disability grows the carer may not be able to physically cope with the
manual handling aspects of continuous care. This is especially true as a carer ages and
experiences issues associated with their own ageing process.
The worsening health or behaviour of a client may bring the care relationship to an end.
A tantrum in a two year old may be manageable but in a twenty year old living with an
intellectual disability a tantrum could pose a genuine risk to the safety of the carer and
others.
Older people with dementia deteriorate over time to the point where a carer may no
longer be able to provide the high level of support required to meet their needs. Given
that the primary carer in this instance is often the client's ageing spouse there is a very
real risk of harm to the carer through physical and emotional exhaustion.
Whatever the reason, it is vital that you recognise the impact on the relationship
between the carer and the client. This is particularly important where there is a health
risk to either party.
Many people who care for their family members, whether ageing or disabled or those
who are dealing with mental health issues need support and care.
They can struggle with the changing relationships they experience as carers for
example;
These relationships must be formed again in a different manner. Whilst the person they
are caring for is an adult, they are often unable to manage as an adult would, this can
sometime mean they are treated more as children and not adults.
Sometimes when a child becomes the carer for their ageing parent the relationship
begins as simply performing small tasks for them but as the parents health and abilities
deteriorate they can often begin doing things such as:
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Version: 2.0 Last Updated: 30 June 2017
Responsibility: Director of Studies Developed by Enhance Your Future Pty Ltd
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CHCCCS025 Support relationships with carers
and families
This can often affect the carer greatly and in this case the really need assistance to
managing this changing relationship.
Counselling
Respite
Home help
Home care services
Medical support
This assistance may also extend to the parent themselves. They may feel that they are a
burden on their child or they may feel as though they are useless and can become quite
depressed.
They may also need counselling or medical assistance but there are some things that
you can do to encourage both parties to begin to enjoy the changing relationship.
Try to get both parties to focus on the positive aspects of their lives. Things such as:
They can also be encouraged to do things together outside the more personal caring role
such as:
There are a millions things that they could do together that would enhance their
relationship that would not be a burden or concern. This would enhance relationships
and make both parties feel better about the caring role.
In all circumstances, if you believe there is a problem in relation to the mental health of
either the carer or the person being cared for you should report this to your supervisor
or refer them to a G.P. or counsellor.
Caring for a disabled or elderly person can be a drain on any person and none so much
as the child of the person. The main thing is that they are encouraged to use the
supports that are available to them. Supports may include:
Respite - Respite care can give the carer a well-earned break and the person
they care for variety and extra social opportunities.
Counselling - counselling can provide all parties with a means to talk openly
about their feelings and can give everyone the release they need to just feel
free to talk without offending or burdening others.
Home care - can offer services to assist with cleaning, cooking and shopping.
Meals on wheels - provides daily meals for people in need when they are
unable to cook them for themselves.
Each of these services provide a different support and can be utilised in order to give the
client, the families and friends a break from the day-to-day care of the person.
Many carers see themselves as a family member who looks after a person they love, not
as a carer. This means that they may not think to look for, or ask for help. There are a
wide range of services available to help them in their caring role. Whatever the service,
whether it’s short-term respite or counselling, it is designed to lend them the support
and assistance they may need. It’s things like having some extra help and support that
may mean they can stay in their caring role for longer.
When providing support and assistance to any person, it is imperative that you do so
according to the policies and procedures of your organisation. Policies aim to tell
workers and people being supported what the service values and how it goes about
putting those values into practice.
Most written policies are clear, concise sets of guidelines outlining how that service
operates. The policies tell you what management expects will happen in certain
situations to support the service’s mission/ philosophy (belief statement). The policies
state what practices should be implemented, so work is done efficiently and
consistently.
Organisational policies relating to the provision of services may encompass issues such
as:
Organisational policies will incorporate the duty of care requirements, which serve to
guide the workers in the delivery of their care. This is to ensure that the client does not
incur any harm or injury, particularly as a result of the actions of the worker. Duty of
care policies will include ensuring that care and service plans are followed, case notes
are followed and acted on as appropriate, and that new entries in relation to the health
of the individuals are documented accordingly. Having knowledge of the requirements
of the duty of care is instrumental in ensuring that the person and their carer are
supported in the most effective way. It is the responsibility of the worker to be aware
and familiar with their requirements in relation to the duty of care.
Every organisation will have its own code of conduct, which outlines the functions that
it intends to perform. Usually, there are statements about the mission, values and
commitments of the organisation along with how it is guided in the provision of
services. Organisations are guided by a charter of rights and responsibilities. These
reflect the legislation that the organisation must abide by, and the types of services that
are provided. Every type of work that occurs within the organisation will have its own
code of conduct specific to that type of work. In some instances, members of that group
will be accountable to an external professional body.
ORGANISATIONAL REQUIREMENTS
In addition to duty of care requirements, each organisation will have its own
organisational requirements. Tis may vary according to the services that it provides.
However, there will be similarities relation to the provision of those services to the
clients. Organisational requirements need to be known and understood by the workers
in order for them to be able to effectively perform their work.
Your service probably has a policy and procedures manual available to workers
containing policies on a range of subjects. Some organisations may refer to these as SOP
or Standard Operations and Procedures Manual.
When commencing work within the community services sector, all employees need to
be aware of the policies, protocols and procedures relating to the provision of services
within their organisation and follow them accordingly in the provision of their care of
the client.
PRIVACY
As with respect, the client and their carer’s should feel that their privacy is maintained
at all times. The worker should never divulge any information relating to the client or
their carer’s to neighbours or any others with respect to the services they are receiving
or any other personal matters. When working in the home, consideration should be
given to the fact that conversations can be easily heard by others in the vicinity, so
therefore you should limit the volume of your voice.
Tasks such as answering the phone or collecting and reading of the mail should be left to
the client or carer unless otherwise requested to do so.
CONFIDENTIALITY
Your community services organisation will have policies and procedures in place for the
handling of confidential information, and it is important that you make yourself aware
of these and follow them at all time. The protection of the personal information of
clients and carer’s is also enforced by legislation that is applied in many sectors of
business including the community services sector.
Access to records
Destruction of records
Release of information
Storage of records
Verbal and written communication
As well as handling all personal information of client and carers within the correct
organisational policies, procedures, regulations and guidelines it is important that you
also conduct the handling of this information with respect and care. Simple steps such
as:
PROVISION OF SERVICES
It is essential that a collaborative approach is taken when working with the person with
a disability and their family in order to ensure that the most appropriate service
delivery option is able to be selected for that person.
It will be necessary to ensure that all service provisions meet the needs of the
individual’s aspirations, needs, rights and preferences at all times.
According to accreditaion standards within the community services industry client have
the right to:
All policies and procedures within a community service organisation should uphold all
ofthese standards and community service workers should be aware of the standards
and how they are measured and take them into account at all times during work
activities.
DISCRIMINATION
It is essential to ensure that the person with a disability is not discriminated against and
receives the same level of care, choice and respect as any other person.
The disability discrimination Act must be adhered to at all times throughout service
delivery and contact with the client.
2 http://www.dhs.vic.gov.au/about-the-department/documents-and-resources/policies,-guidelines-and-
legislation/department-of-human-services-standards
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DIGNITY OF RISK
Dignity of risk is the legal requirement to ensure that all persons with a disability has
the legal right to choose their own medical treatments even if the professionals involved
feel that this is not the correct choice for them.
DUTY OF CARE
Duty of care is ones legal obligation to take reasonable care to prevent others from
being harmed. This means that if a worker identifies something that could reasonably be
considered to be a risk, than that employee must, in response take reasonable action to
eliminate that risk. This means that if a client is presenting with indicators of harm it is
important that these are responded to according to legal requirements and duty of care
needs.
All relevant risk assessments, observation tools and activities should be carried out
when any of these indicators are present. It is essential that when a client presents with
a need for a particular service they will in fact be referred on to that service.
Ethical referral
Comply with state and territory legislation
It is essential to ensure that all of the person’s human rights are respected and upheld at
all times. All human rights legislation as well as the United Nations conventions on the
rights of persons with a disability is respected and upheld. These treaties provide
persons with a disability with a range of rights including, respect, dignity, self-
determination and the right to choose what happens to them in their lives.
MANDATORY REPORTING
In addition to the general level of duty of care and ensuring that adults risks are
minimised and managed it is important to keep in mind that in some instances such as
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when a child is presenting with indicators of harm, neglect, abuse or risk of harm that
appropriate legal and ethical factors are considered.
There are many ways to keep information confidential. The following are examples of
some of these methods:
It is essential that all aspects of the work health and safety Act are upheld at all times
and that appropriate controls and steps are taken in order to effectively identify any
hazards in the environment and to take appropriate measures to minimise, manage and
report on them.
PRINCIPLES OF EMPOWERMENT
Gaining independence is a very important aspect of empowerment for people living with
a disability and this is a very important aspect of working with people with a disability.
It is essential that a range of steps are taken that will assist in guiding and enabling
choice and self-determination in a positive and supportive manner for the client at all
times.
Responding to the needs of carers is the most vital part of the relationship, you not only
need to identify you need to act in accordance with the need.
People who care for a family member or friend can experience many rewards:
The opportunity for personal growth and the development of new skills
Proving that they can meet new challenges
The satisfaction of knowing they have helped someone who needs them and
done the best they could to improve their quality of life
Strengthening the relationship with the person they care for and knowing
how much they appreciate the help
Receiving the acknowledgement of family and friends
On the other hand they also can experience some quite difficult challenges:
Financial hardship
o 50% of primary carers are on a low income and many find it hard to
cover living expenses, save money or build up superannuation
o The extra costs of caring can be enormous. Caring families often have
to find money for extra expenses like heating and laundry, medicines,
disability aids, health care and transport.
If you identify any of these problems then you will need to respond by providing or
referring the carer to the appropriate service.
If you are unsure about who to send them to or how to assist them please ensure you
ask your supervisor or manager. It is not enough just to acknowledge there is a problem,
you will need to ensure you provide these support they need in their time of need. Never
let it wait until later. Act immediately!
There are many support services located in your area for carers to assist them to
continue caring for their friend or family member. You will need to provide them with
the information on how to contact the services and what these services can do for them.
There will be many other services available to carers throughout Australia and your
organisation should have information on each one in your area so that you can provide
carers with the correct and most up-to-date information so they can be supported to
stay in their role as carer to a family member or friend in need.
3 https://www.carersvictoria.org.au/how-we-help
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SUMMARY
Now that you have completed this unit, you should have the skills and knowledge
required to work positively with the carers and families of people using the service
based on an understanding of their support needs.
If you have any questions about this resource, please ask your trainer. They will be only
too happy to assist you when required.
REFERENCES
Carers in Australia, assisting frail older people and people with a disability. Australian
Institute of Health and Welfare, Department of Health and Ageing, Canberra.