Community Care Common Standards Guide - Department of Health ...

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OVERVIEW OF THE GUIDE SECTION 1COMMUNITY CARE COMMON STANDARDS PRINCIPLESStandard 1: Effective ManagementThe service provider demonstrates effective management processes based on acontinuous improvement approach to service management, planning and delivery.Standard 2: Appropriate Access and Service DeliveryEach service user (and prospective service user) has access to services and serviceusers receive appropriate services that are planned, delivered and evaluated inpartnership with themselves and/or their representative.Standard 3: Service User Rights and ResponsibilitiesEach service user (and/ or their representative) is provided with information to assistthem to make service choices and has the right (and responsibility) to be consultedand respected. Service users (and/or their representative) have access to complaintsand advocacy information and processes and their privacy and confidentiality andright to independence is respected.The full Standards and expected outcomes are provided in Section 3: The Community Care CommonStandards.1.4 APPLICABLE COMMUNITY CARE FRAMEWORKSThe Standards apply to service providers who are receiving funding under the HACC Program, packagedcare programs or the NRCP. An overview of these programs is provided below; more detailed informationabout these programs can be found in the respective program guidelines.1.4.1 Home and Community Care (HACC) ProgramThe HACC Program provides community care services to frail aged and younger people with disabilities andtheir carers, and is a joint Commonwealth, State and Territory government initiative.The program provides a basic level of support to assist service users to remain independent at home andin the community and to reduce the potential for inappropriate admission to residential care.Some of the services funded through the HACC Program include:• Nursing care• Allied health care• Meals and other food services• Domestic assistance• Personal care• Home modification and maintenance• Transport• Respite care• Counselling, support, information and advocacy• Assessment of service users and coordination of services.The HACC Program is a key element of the Australian and State and Territory governments’ aged carepolicy and its vision for a world-class community care system.COMMUNITY CARE COMMON STANDARDS GUIDE Page | 2
OVERVIEW OF THE GUIDE SECTION 1Currently the Australian Government provides approximately 60 per cent of funding for the program andmaintains a broad strategic policy role. The State and Territory governments provide the remainingfunding and are the primary points of contact for the program’s service providers and service users. TheState and Territory governments are also responsible for program management, including the approvaland funding of individual HACC Program services in their jurisdictions.All governments, with the current exception of the Victorian and Western Australian State Governments,have agreed that the Australian Government will have full policy and funding responsibility for the agedcare component of the HACC Program from July 2011 and will take on administrative responsibility fromJuly 2012.1.4.2 Packaged Care ProgramsCommunity Aged Care Packages (CACPs)Since 1992 the Australian Government has provided individually tailored packages of community aged careservices, in the form of CACPs, designed to meet the needs of frail older people with complex care needswho wish to remain living in their own homes. To be eligible to receive a CACP, the service user must firstbe assessed by an Aged Care Assessment Team (ACAT) (Aged Care Assessment Service (ACAS) inVictoria) as having complex care needs that can only be met by a coordinated package of care services.They would be otherwise eligible for at least low level residential aged care while preferring and being ableto remain at home.CACPs are very flexible and are designed to meet each individual’s care needs. The types of services thatmay be provided as part of a CACP include:• Personal care• Social support• Transport to appointments• Home help• Meal preparation• Gardening.Extended Aged Care at Home (EACH) Packages and Extended Aged Care at Home Dementia(EACHD) PackagesEACH and EACHD packages are individually planned and coordinated packages of care, tailored to providefor the complex care needs of older people to assist them to remain living at home. EACHD packages focuson providing high-level care for service users who have been assessed as experiencing behaviours ofconcern and psychological symptoms associated with dementia. EACH and EACHD packages are funded bythe Australian Government. To receive an EACH or EACHD package, a person must be assessed by anACAT (ACAS in Victoria) as requiring high-level care. The types of services that may be provided as part ofan EACH or EACHD package include:• Care provided by a registered nurse• Care provided by an allied health professional, such as a physiotherapist, podiatrist or other type ofallied health care• Personal care• Transport to appointments• Social support• Home help• Assistance with oxygen and/or enteral feeding.1.4.3 National Respite for Carers Program (NRCP)The NRCP is one of several initiatives designed to support and assist relatives and friends caring at homefor people who are unable to care for themselves because of disability or frailty. This program is funded bythe Australian Government, and assists by arranging respite when carers need to take a break fromCOMMUNITY CARE COMMON STANDARDS GUIDE Page | 3
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