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CHCDIS405A Facilitate skills development and maintenance

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Contents<br />

Contents<br />

Before you begin<br />

What you will learn<br />

Competency st<strong>and</strong>ard<br />

What is expected of a Certificate IV learner<br />

Assessment<br />

Employability <strong>skills</strong><br />

How to work through this unit<br />

Resources<br />

vii<br />

vii<br />

ix<br />

xi<br />

xi<br />

xi<br />

xiii<br />

xiv<br />

Introduction: Facilitating <strong>skills</strong> <strong>development</strong> <strong>and</strong> <strong>maintenance</strong> 1<br />

Chapter 1: Assessing the learning ability <strong>and</strong> needs of 3<br />

the person<br />

1.1 Assessing the person’s <strong>skills</strong> <strong>development</strong>/<strong>maintenance</strong> needs 4<br />

1.2 Identifying <strong>skills</strong> <strong>development</strong> or <strong>maintenance</strong> opportunities 12<br />

1.3 Documenting assessment outcomes according to organisation guidelines 15<br />

1.4 Making referrals to other staff or specialist services 18<br />

Discussion topics 20<br />

Chapter summary 20<br />

Checklist for Chapter 1 20<br />

Assessment activity 1: Assessing the learning ability <strong>and</strong> needs of the person 21<br />

Record your employability <strong>skills</strong> 22<br />

Chapter 2: Developing a person-centred <strong>skills</strong> <strong>development</strong> 23<br />

<strong>and</strong> <strong>maintenance</strong> plan<br />

2.1 Engaging the person with a disability in identifying their learning goals 24<br />

2.2 Identifying learning strategies to address the person’s goals 28<br />

2.3 Developing a formal person-centred <strong>skills</strong> <strong>development</strong>/<strong>maintenance</strong> plan 31<br />

2.4 Documenting the person-centred <strong>skills</strong> <strong>development</strong>/<strong>maintenance</strong> plan 36<br />

Discussion topics 38<br />

Chapter summary 38<br />

Checklist for Chapter 2 38<br />

Assessment activity 2: Developing a person-centred <strong>skills</strong> <strong>development</strong> 39<br />

<strong>and</strong> <strong>maintenance</strong> plan<br />

Record your employability <strong>skills</strong> 40<br />

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<strong>CHCDIS405A</strong> <strong>Facilitate</strong> <strong>skills</strong> <strong>development</strong> <strong>and</strong> <strong>maintenance</strong><br />

Chapter 3: Implementing the <strong>skills</strong> <strong>development</strong>/<strong>maintenance</strong> 41<br />

plan<br />

3.1 Implementing <strong>skills</strong> learning <strong>and</strong> <strong>maintenance</strong> strategies in a motivating, 42<br />

empowering <strong>and</strong> respectful manner<br />

3.2 Ensuring the <strong>skills</strong> <strong>development</strong>/<strong>maintenance</strong> plan is implemented 45<br />

consistently<br />

3.3 Accessing <strong>and</strong> using equipment <strong>and</strong> resources to facilitate learning 48<br />

3.4 Maintaining records to demonstrate the person’s achievements <strong>and</strong> to 51<br />

assist with monitoring <strong>and</strong> review of the plan<br />

Discussion topics 53<br />

Chapter summary 53<br />

Checklist for Chapter 3 54<br />

Assessment activity 3: Implementing the <strong>skills</strong> <strong>development</strong>/<strong>maintenance</strong> plan 55<br />

Record your employability <strong>skills</strong> 56<br />

Chapter 4: Evaluating <strong>skills</strong> <strong>development</strong> <strong>and</strong> reviewing 57<br />

the plan<br />

4.1 Providing feedback about the person’s progress towards learning objectives 58<br />

4.2 Reviewing records, evaluating <strong>and</strong> changing the <strong>skills</strong> 62<br />

<strong>development</strong>/<strong>maintenance</strong> plan<br />

4.3 Identifying opportunities to maintain <strong>and</strong> enhance <strong>skills</strong> in an ongoing way 65<br />

Discussion topics 67<br />

Chapter summary 67<br />

Checklist for Chapter 4 68<br />

Assessment activity 4: Evaluating <strong>skills</strong> <strong>development</strong> <strong>and</strong> reviewing the plan 69<br />

Record your employability <strong>skills</strong> 69<br />

Chapter 5: Using incidental learning to enhance <strong>skills</strong> 71<br />

<strong>development</strong><br />

5.1 Identifying informal learning opportunities <strong>and</strong> encouraging learning 72<br />

5.2 Withdrawing support to encourage experiential learning 77<br />

5.3 Providing prompt <strong>and</strong> constructive advice <strong>and</strong> feedback 80<br />

5.4 Providing encouragement when the person takes initiative 83<br />

5.5 Identifying <strong>and</strong> describing informal learning opportunities in 87<br />

the context of policies <strong>and</strong> procedures<br />

Discussion topics 88<br />

Chapter summary 89<br />

Checklist for Chapter 5 89<br />

Assessment activity 5: Using incidental learning to enhance <strong>skills</strong> <strong>development</strong> 90<br />

Record your employability <strong>skills</strong> 91<br />

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Contents<br />

Final assessment: <strong>CHCDIS405A</strong> <strong>Facilitate</strong> <strong>skills</strong> <strong>development</strong> 93<br />

<strong>and</strong> <strong>maintenance</strong><br />

Employability <strong>skills</strong> 98<br />

Glossary 99<br />

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Chapter 3: Implementing the <strong>skills</strong> <strong>development</strong>/<strong>maintenance</strong> plan<br />

3.4 Maintaining records to demonstrate the<br />

person’s achievements <strong>and</strong> to assist with<br />

monitoring <strong>and</strong> review of the plan<br />

Maintaining records to demonstrate the person’s achievements has a dual purpose;<br />

records monitor a client’s progress as well as being a tool to share information with<br />

other members of the support team.<br />

Maintaining the <strong>skills</strong> <strong>development</strong> plan<br />

Once you have drawn up your client’s <strong>skills</strong> <strong>development</strong> plan, maintaining records<br />

<strong>and</strong> monitoring progress primarily involves recording any ‘evidence of achievement’ of<br />

expected learning outcomes.<br />

As a supervisor or support worker you must record what you have observed the client<br />

perform in order to monitor <strong>and</strong> review their <strong>development</strong>.<br />

When making <strong>and</strong> recording observations:<br />

• record only what you have observed yourself; for example, ‘Shirley was able to wash<br />

her upper body unassisted this morning as part of her shower routine’<br />

• if you are reporting what someone has told you, quote their exact words <strong>and</strong> attribute<br />

them to the speaker<br />

• state the number of times the activity was performed <strong>and</strong> under what conditions<br />

• sign <strong>and</strong> date all entries<br />

• consider a reward system like stars to show achievement.<br />

Care plan<br />

As a supervisor you record any changes that need to be made to the client’s care plan<br />

as a result of either an increase or a decline in their skill level. These changes should be<br />

discussed with the client <strong>and</strong> an amended care plan documented <strong>and</strong> signed by yourself<br />

<strong>and</strong> the client. You then need to make sure all support workers are informed of the<br />

changes.<br />

Rosters<br />

Once you have amended the care plan, a supervisor needs to adjust rosters to cater<br />

for this amendment. Most organisations have a computer-based rostering system you<br />

update with any changes to the duties to be performed or changes to the support workers<br />

providing the service.<br />

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<strong>CHCDIS405A</strong> <strong>Facilitate</strong> <strong>skills</strong> <strong>development</strong> <strong>and</strong> <strong>maintenance</strong><br />

Work instructions<br />

When new procedures are added to a client’s program, you may need to write a detailed<br />

work instruction to ensure consistency in the way the procedure is performed. You<br />

may also require the assistance of other health professionals; for instance, if you<br />

are introducing a program of stretching exercises you may need the assistance of a<br />

physiotherapist to write the work instruction. Check your workplace guidelines, as any<br />

work instructions form part of the quality system.<br />

Guidelines<br />

Where the change in a client’s skill level requires a change to guidelines, you need to<br />

follow workplace procedures as this also involves a change to the quality system. An<br />

example would be if you change guidelines for support workers assisting clients to<br />

access an ATM.<br />

Communication books<br />

A communication book is used to communicate information between support workers,<br />

the family, the client <strong>and</strong> other relevant health professionals. It remains in the client’s<br />

home <strong>and</strong> is an open document for all to see. Entries must be fact, not opinion; report<br />

only what you have observed. All entries should be signed <strong>and</strong> dated.<br />

File notes<br />

When you have had a face-to-face discussion with your client regarding their <strong>skills</strong><br />

<strong>development</strong> progress, record the conversation in a file note. Follow workplace<br />

procedures, as file notes are a legal record of dialogue.<br />

Staff meetings<br />

A client’s <strong>skills</strong> <strong>development</strong> requirements may be discussed at a staff meeting. In order<br />

to disseminate information, it should be shown on the agenda <strong>and</strong> minuted.<br />

Training or information sessions<br />

Where training or an information session is run for staff who will be working with a<br />

client in their skill <strong>development</strong>, this information should be recorded as a client file note<br />

<strong>and</strong> in the support worker’s training record.<br />

Case management meetings<br />

A formal agenda <strong>and</strong> minutes should be recorded for case management meetings. This<br />

is usually undertaken by the case manager.<br />

The following example describes poor <strong>and</strong> good reporting of a situation.<br />

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Chapter 3: Implementing the <strong>skills</strong> <strong>development</strong>/<strong>maintenance</strong> plan<br />

Example<br />

You are providing assistance to Jimmy to learn to dress himself in the morning. Jimmy is 19<br />

years old <strong>and</strong> has cerebral palsy. It is one of Jimmy’s performance criteria that he be able to<br />

live independently.<br />

This morning when you are dressing him, you suggest that he tries to do up the buttons on his<br />

shirt for himself. Jimmy tries to do this, but is unsuccessful because of his lack of fine motor <strong>skills</strong>.<br />

Three times he tries to get the buttons through the holes. He then shouts at himself for not being<br />

able to do it. You intervene <strong>and</strong> assist him to button his shirt.<br />

The following example shows good <strong>and</strong> poor recording in a communication book.<br />

Poor reporting:<br />

Jimmy got frustrated getting dressed this morning.<br />

Good reporting:<br />

Jimmy attempted to do up the buttons on his shirt three times this morning <strong>and</strong> then needed<br />

assistance from me to achieve this. (signed <strong>and</strong> dated)<br />

Practice task 12<br />

In Chapter 1 you talked to an experienced person about the records they keep. Review your<br />

findings from that discussion, making a list of what documents you would need to complete to<br />

monitor <strong>skills</strong> <strong>development</strong>.<br />

Discussion topics<br />

Learners in a classroom can form a discussion group or have a debate. Those in the<br />

workplace might like to brainstorm these ideas with their colleagues. If you are learning<br />

independently, you might like to set up a chat room with other learners or ask a friend<br />

for their opinion.<br />

• Keeping people motivated is the key to achieving the learning outcomes of the <strong>skills</strong><br />

<strong>development</strong> plan.<br />

• Witnessing someone develop new <strong>skills</strong>, <strong>and</strong> the satisfaction that comes from it,<br />

can be the most inspiring aspect of working with people with disabilities. Give<br />

examples.<br />

• ‘Balancing a client’s right to dignity of risk with our duty of care can be difficult.<br />

Some times I just want to jump in <strong>and</strong> help.’ Discuss this statement.<br />

Chapter summary<br />

•<br />

•<br />

•<br />

Your client learns best when you provide a supportive learning environment that<br />

encourages this <strong>development</strong>.<br />

In order to promote your client’s <strong>development</strong> information must be shared with all<br />

relevant people <strong>and</strong> consistency assured in implementing the <strong>skills</strong> <strong>development</strong><br />

plan.<br />

There are aids <strong>and</strong> specialised equipment you can access to make learning easier for<br />

your client.<br />

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<strong>CHCDIS405A</strong> <strong>Facilitate</strong> <strong>skills</strong> <strong>development</strong> <strong>and</strong> <strong>maintenance</strong><br />

•<br />

•<br />

In some cases, clients may require extra resources to support them carry out<br />

functions such as turning pages, taking notes or to help with health needs during<br />

formal training sessions.<br />

You must monitor <strong>and</strong> record client progress accurately against their <strong>development</strong><br />

plan <strong>and</strong> all other relevant documentation.<br />

Checklist for Chapter 3<br />

Tick the box when you can do the following.<br />

Implement <strong>skills</strong> learning <strong>and</strong> <strong>maintenance</strong> strategies in a motivating, empowering<br />

<strong>and</strong> respectful manner<br />

Ensure the <strong>skills</strong> <strong>development</strong>/<strong>maintenance</strong> plan is implemented consistently<br />

Access <strong>and</strong> use equipment <strong>and</strong> resources to facilitate learning<br />

Maintain records to demonstrate the person’s achievements <strong>and</strong> to assist with<br />

monitoring <strong>and</strong> review of the plan<br />

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Chapter 3: Implementing the <strong>skills</strong> <strong>development</strong>/<strong>maintenance</strong> plan<br />

Assessment activity 3<br />

Implementing the <strong>skills</strong> <strong>development</strong>/<br />

<strong>maintenance</strong> plan<br />

The following table maps the assessment activity for this chapter against the element<br />

<strong>and</strong> performance criteria of Element 3 in <strong>CHCDIS405A</strong> <strong>Facilitate</strong> <strong>skills</strong> <strong>development</strong> <strong>and</strong><br />

<strong>maintenance</strong>. The activity has been designed for all learners to complete.<br />

Part Element Performance criteria<br />

Whole activity 3 All<br />

Read the case study, then answer the questions that follow.<br />

Case study<br />

Kathleen is a supervisor with an organisation that provides services to older people <strong>and</strong> people<br />

with disabilities. Kathleen is asked if she can meet with a new client, Duane, who has had a stroke<br />

<strong>and</strong> is about to return home. Kathleen is to assess what services Duane needs to be put in place<br />

to assist with his rehabilitation.<br />

Kathleen visits Duane <strong>and</strong> talks to him about his needs. Duane’s goal is to regain full mobility so<br />

he can continue to live on his own. As a result of the stroke, Duane’s balance is impaired <strong>and</strong> he<br />

is very slow <strong>and</strong> unsure in his movements.<br />

Kathleen talks to Duane for about an hour <strong>and</strong> discusses a support program with him. They<br />

decide he needs home care twice a week <strong>and</strong> personal care every morning until he gains<br />

enough confidence to be able to shower himself. Duane tells Kathleen that he wants to continue<br />

his weekly session with a physiotherapist as part of his rehabilitation. She encourages him to<br />

do this, suggesting she arrange transport as part of his program. Kathleen also suggests she<br />

organise a walking frame for Duane to use around the house to help with his balance.<br />

Upon returning to the office Kathleen draws up a service delivery plan <strong>and</strong> enters Duane’s details<br />

on the database. She phones two support workers, Jenny <strong>and</strong> Pallini, to organise home care<br />

<strong>and</strong> personal care, briefing both on Duane’s goal of becoming independent <strong>and</strong> the details of<br />

his program. These details are also recorded on Duane’s care plan for the support workers to<br />

see. Kathleen also organises the hire of a walking frame, ensuring it is there when Duane arrives<br />

home from hospital.<br />

Jenny calls on Duane twice a week to provide home care. She gets on well with Duane <strong>and</strong> he<br />

often chats to her about how he used to go swimming in the bay each morning. Jenny suggests<br />

that Duane may like to try swimming again as part of his rehabilitation. After completing her<br />

shift, Jenny makes a note of this conversation in the communication book <strong>and</strong> gives Kathleen a<br />

call to tell her.<br />

Pallini assists Duane to shower each morning. Duane undresses in the bedroom <strong>and</strong> then uses<br />

his walking frame to go to the bathroom where Pallini assists him to sit on a shower chair. She<br />

turns the water on for him <strong>and</strong> he can then wash himself.<br />

In the second week Duane decides he will try walking to the bathroom without the walking<br />

frame. Pallini assists <strong>and</strong> he manages to walk to the shower chair on his own. Pallini records this<br />

in the communication book so Jenny will know. She also phones Kathleen to tell her of Duane’s<br />

progress, which Kathleen notes on Duane’s <strong>development</strong> plan.<br />

continued …<br />

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Final assessment: <strong>CHCDIS405A</strong> <strong>Facilitate</strong> <strong>skills</strong> <strong>development</strong> <strong>and</strong> <strong>maintenance</strong><br />

Final assessment<br />

<strong>CHCDIS405A</strong> <strong>Facilitate</strong> <strong>skills</strong><br />

<strong>development</strong> <strong>and</strong> <strong>maintenance</strong><br />

To be assessed as competent in <strong>CHCDIS405A</strong> <strong>Facilitate</strong> <strong>skills</strong> <strong>development</strong> <strong>and</strong><br />

<strong>maintenance</strong>, you must provide evidence of the specified essential knowledge <strong>and</strong> <strong>skills</strong>.<br />

Details of the essential knowledge <strong>and</strong> <strong>skills</strong> can be found in the ‘Before you begin’<br />

section of this workbook.<br />

Assessment mapping<br />

The following table maps this final assessment activity against the elements <strong>and</strong><br />

performance criteria of <strong>CHCDIS405A</strong> <strong>Facilitate</strong> <strong>skills</strong> <strong>development</strong> <strong>and</strong> <strong>maintenance</strong>.<br />

Part Element Performance criteria<br />

A All All<br />

B All All<br />

C All All<br />

Detailed mapping of this workbook against the methods of assessment, the elements,<br />

the performance criteria <strong>and</strong> essential <strong>skills</strong> <strong>and</strong> knowledge is available in the Aspire<br />

Trainer’s <strong>and</strong> assessor’s guide for this unit.<br />

The following activity forms part of your assessment of competence. You may also need<br />

to provide various workplace documents or third-party reports. Your trainer will give<br />

you guidance in this area.<br />

The following activity has been designed for all learners to complete.<br />

Part A:<br />

Essential <strong>skills</strong><br />

Your trainer needs to observe you demonstrating the following essential <strong>skills</strong> in your<br />

workplace or in a simulated environment.<br />

Essential <strong>skills</strong><br />

Demonstrate how you:<br />

• underst<strong>and</strong> <strong>and</strong> adhere to own work role<br />

<strong>and</strong> responsibilities.<br />

Demonstrate how you:<br />

• follow organisation policies <strong>and</strong> protocols.<br />

Demonstrate how you:<br />

• liaise <strong>and</strong> report to relevant personnel.<br />

Example<br />

Tell your trainer/assessor what you would say<br />

if the client asked you to do something that<br />

wasn’t in your job description.<br />

Show your trainer/assessor a copy of an<br />

incident report you have written.<br />

Show your trainer/assessor an entry you<br />

have written in the communication book.<br />

continued …<br />

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Glossary<br />

Glossary<br />

Acquired disability: An acquired disability is where impairment arises after birth as a<br />

result of a disease or trauma.<br />

Active support: Active support is assisting people in a way that ensures individuals are<br />

involved in learning <strong>skills</strong> that can contribute to their own support: doings things with<br />

people rather than for them.<br />

Advocate: An advocate helps their client make decisions about their care. An advocate<br />

may attend discussions about their client’s support <strong>and</strong> care. They make sure their client<br />

receives the service they want <strong>and</strong> need.<br />

Auslan: Auslan st<strong>and</strong>s for Australian sign language. It is a language of signs, body<br />

movements <strong>and</strong> facial expressions used by deaf people or by an interpreter between a<br />

hearing <strong>and</strong> deaf person. It is only used in Australia.<br />

Cognitive: Cognitive function refers to how people think, learn <strong>and</strong> judge.<br />

Communication board: A communication board allows an individual to communicate<br />

their needs or feelings in a nonverbal way. It includes frequently used letters, words or<br />

pictures that the person can point or gesture to.<br />

Confidentiality: Confidentiality is an obligation that restricts an individual or<br />

organisation from using or disclosing information about a person that is outside of the<br />

scope for which the information was collected.<br />

Dignity of risk: Dignity of risk means that a person has the right to make their own<br />

choices <strong>and</strong> to take risks. It is the role of the community worker to ensure the individual<br />

underst<strong>and</strong>s the risks they are taking <strong>and</strong> therefore is making an informed choice.<br />

Duty of care: Duty of care is the term used to describe the obligations employers <strong>and</strong><br />

employees have to each other <strong>and</strong> those they are caring for. It includes making sure<br />

you provide appropriate care to meet the person’s needs, treat them with respect <strong>and</strong><br />

maintain a person’s right to privacy.<br />

Fine motor <strong>skills</strong>: Fine motor <strong>skills</strong> involve precise controlled movement of the h<strong>and</strong>s<br />

<strong>and</strong> fingers. Typically the <strong>skills</strong> are grasping, manipulating <strong>and</strong> h<strong>and</strong>–eye coordination.<br />

Examples are writing, pushing small buttons, using scissors or playing the piano.<br />

Gross motor <strong>skills</strong>: Gross motor <strong>skills</strong> are movements involving the arm, leg, or feet<br />

muscles or the entire body. Things like crawling, walking, running <strong>and</strong> jumping are<br />

gross motor <strong>skills</strong>.<br />

Incidental learning: Incidental learning is not planned or intentional. It occurs when<br />

people learn <strong>skills</strong> from everyday life activities such as conversations, observing things,<br />

trial <strong>and</strong> error. For example, social <strong>skills</strong> are often learnt through day-to-day activity.<br />

Person-centred approach: A person-centred approach to service delivery ensures that<br />

the person accessing a service is central to service delivery; responds to the whole person<br />

<strong>and</strong> focuses on a social model of care rather than a medical model of care.<br />

© Aspire Training & Consulting<br />

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