Residential Services Practice Manual 3 Edition 2012
Transcription
Residential Services Practice Manual 3 Edition 2012
Residential Services Practice Manual 3rd Edition 2012 Disclaimer Published by Disability Services Division Victorian Government Department of Human Services Melbourne Victoria Australia July 2007 2nd Edition April 2009 (date effective 31 July 2009) 3rd Edition August 2012 (date effective 31 August 2012) © Copyright State of Victoria, Department of Human Services, 2007. 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 Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – i Contents Preface: Promoting positive practice 1 Introduction and context Using the Residential Services Practice Manual 1.1 Working with children and young people 1.1.1 Duty of care in residential services 1.2 Government policies 1.3 Disability Act 2006 1.4 Quality improvement 1.5 Responding to complaints made to the department 1.6 The Disability Services Commissioner 1.6.1 Community Visitors 1.7 2 Working for DHS Conditions of employment, rights and responsibilities 2.1 Work attire guidelines 2.1.1 Learning, development and support 2.2 Positive and fair workplaces and review of actions 2.3 Support for employees 2.4 Managing work performance and conduct 2.5 3 Ensuring a safe environment Occupational health and safety 3.1 Workplace safety inspections 3.2 Maintenance and repairs 3.2.1 Manual handling 3.3 Purchasing manual handling aids and equipment 3.3.1 Occupational violence re-issued February 2014 3.4 Vehicle safety 3.5 Hazardous substances 3.6 Smoke-free environment 3.7 Fire and emergency procedures 3.8 Bushfire preparedness 3.8.1 Electrical safety 3.9 Infection prevention and control overview 3.10 3.10.1 Standard precautions 3.10.2 Body fluid spills and personal hygiene support 3.10.3 Infectious disease outbreak and additional precautions Food safety 3.11 First aid and cardiopulmonary resuscitation re-issued July 2013 3.12 Issue resolution for OH&S 3.13 Disease, Injury and near miss and accident (DINMA) reporting 3.14 Serious incident notification to Worksafe Victoria 3.15 Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – ii 4 5 Person-directed practice Entry, exit, relocation and residential statements 4.1 Respite entry 4.1.1 Decision making and choice 4.2 The role of a guardian 4.2.1 The role of an administrator 4.2.2 Decision-making in a group environment 4.2.3 Support planning 4.3 Support plan implementation 4.3.1 Person Centred Active Support 4.4 Promoting community inclusion 4.5 Personal relationships and sexuality 4.6 Transport 4.7 Holidays, overnight stays and outings 4.8 Cultural and linguistic diversity (CALD) 4.9 Interpreting and translation 4.9.1 Complex communication needs 4.10 Personal privacy and entry to a person’s room 4.11 Bathing and showering 4.12 Grooming and dressing 4.13 Overnight monitoring 4.14 re-issued February 2014 re-issued February 2014 Health and wellbeing Promoting health 5.1 Promoting physical activity 5.1.1 Promoting healthy eating 5.1.2 Promoting good mental health 5.1.3 Reducing tobacco-related harm 5.1.4 Minimising harm from alcohol 5.1.5 Sun and heat exposure 5.1.6 Healthy ageing 5.1.7 Developing a health plan 5.2 Mental health support 5.2.1 Dementia support 5.2.2 Annual health review 5.3 Attending health appointments 5.4 Consent to medical and dental treatment 5.5 Medication 5.6 Authorisation and review of medication 5.6.1 Obtaining and storing medication 5.6.2 Administration of medication 5.6.3 Recording and communicating about medication 5.6.4 Medication when the person is away from home 5.6.5 Problems with medications 5.6.6 Access the Disability Accommodation Services Hub to ensure the most up to date information is used re-issued July 2013 re-issued July 2013 issued July 2013 Residential Services Practice Manual 3rd Edition – iii 5.7 5.8 5.9 5.10 5.11 5.12 5.13 5.14 5.15 5.16 6 7 Nutrition and swallowing Supporting residents with pica behaviour 5.7.1 Weight monitor Supporting a person to eat Oral health Menstrual management Continence Specific health management 5.13.1 Supporting a person with epilepsy 5.13.2 Managing pressure sores 5.13.3 Supporting residents with Prader-Willi syndrome Managing deteriorating health Hospital admission 5.15.1 Hospital discharge Palliative care Records and procedures Introduction to public records 6.1 Records kept by residential services 6.1.1 Client Relationship Information System (CRIS) 6.1.2 Personal information privacy and access 6.1.3 Freedom of information 6.1.4 Storing, maintaining, moving and archiving files 6.1.5 Accountability of money 6.2 Handling funds in respite services 6.3 Critical client incidents and non-critical client events 6.4 Damage caused by people living in residential services 6.5 Missing people 6.6 Responding to physical and sexual assault 6.7 When a person dies 6.8 Wills and deceased estates 6.9 issued July 2013 issued July 2013 re-issued July 2013 Positive behaviour support Reducing and preventing behaviours of concern 7.1 The Senior Practitioner 7.2 Restrictive interventions 7.3 Behaviour Support Plans 7.4 Compulsory treatment 7.5 Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – iv Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – i Preface: Promoting positive practice Issued: August 2012 Applies to all Contents The aim of residential services Staff role Practice and service accountability Individualised support and resident inclusion is vital to wellbeing Victorian Charter of Human Rights and Responsibilities Department of Human Services Values Person Centred Active Support is the key Resources The aim of residential services Residential services aim to enrich the quality of life of residents who live in them. Staff role The role of Disability Development and Support Officers (staff) is to provide skilled support and use every available opportunity to actively promote resident’s: participation in household and community activities relationships with other people decision making skills dignity and respect. The Residential Services Practice Manual (RSPM) provides instruction and, information based on these underpinning practice principles. Practice and service accountability All staff should be aware that department managed Disability Accommodation Services and its staff are accountable for the services they provide. Practice and service delivery is monitored and audited by a range of statutory authorities who have the legal right in circumstances defined by their governing legislation, to scrutinise individual staff actions, investigate service delivery and adverse events, and recommend policy and practice change. These include: The Ombudsman The Auditor General The Public Advocate, includes the Community Visitor Program The Disability Services Commissioner The Senior Practitioner The Coroner Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – ii Individualised support and resident inclusion is vital to wellbeing Residents have the same right as others in the community to make choices and decisions about their lives. Generally, people who have control over their lives and are encouraged to make decisions, experience better health and wellbeing outcomes. Choices about what to wear and eat, when to rise, and chores to be completed are important, and for some residents more important than major life decisions. It is vital to document a resident’s preferences and immediate daily support needs in their personal profile to ensure individualised support is provided. Residents must be involved in the development of their personal profile. The personal profile is a key document which ensures staff have basic information about a resident’s: health, or other issue alerts preferred ways of communicating independence and areas where assistance may be required likes and dislikes, including activities and interactions family, friends and others important to them. The resident and their family are the most valuable source of support information. If a resident is unable to provide information, their family should be consulted, as appropriate, to obtain information. This requirement is particularly important for residents who: have complex communication needs may not be able to inform staff of their personal choices, likes, or dislikes are subject to the requirements for children and young people, see RSPM 1.1.1. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – iii Victorian Charter of Human Rights and Responsibilities Departmental staff must be compatible with the rights contained in the Victorian Charter of Human Rights and Responsibilities. The Disability Act 2006 has been assessed for compliance with the Charter. In most instances, if staff act in accordance with the requirements, as outlined in the RSPM, they will meet the Charter’s requirements. The following are examples of how Charter rights are applied in residential services: Recognition and equality before the law In residential services this includes: having a current Residential Statement, see RSPM 4.1 a current child care agreement for children and young people, see RSPM 1.1.1 having the right to make a complaint, see RSPM 1.6, 1.6.1 having the right to an Independent Third Person (ITP) and legal advice, if accused of a crime having 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 includes: being spoken to and acted towards as an individual, see RSPM 1.1.1, 1.2 being treated with respect, see RSPM 1.2 being informed of activities and actions to be performed by staff, for example, when assistance is provided with meals, or personal care tasks, see RSPM 4.11, 4.12, 4.13 having access to timely medical treatment and health care , see RSPM 5. Privacy and reputation In residential services this includes: having privacy with personal care tasks, where possible, see RSPM 4.11, 4.12, 4.13 sharing information to enable support and protect wellbeing, (not for small talk, or gossip purposes), see RSPM 1.2, 6.1, 6.1.1, 6.1.3 being spoken about as required, and with respect, see RSPM 1.2. Cultural rights In residential services this includes: respecting and supporting cultural identity and traditions, see RSPM 1.2, 4.9 respecting and supporting religious identity and traditions, see RSPM 1.2, 4.9. Right to liberty and security of the person In residential services this includes: supporting freedom of movement within the residential service and the community, unless restriction is authorised, see RSPM 1.2, 7.2, 7.3. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – iv Department of Human Services values Staff are required to work according to the department’s values, which are contained in Our Values, the Code of Conduct for Victorian Public Sector Employees, and duty of care requirements. The Our Values and Code of Conduct for Victorian Public Sector Employees document provides clear information which encapsulates: Client focus In residential services this means: using Person Centred Active Support (PCAS) approach to provide life experiences and opportunities (in the least restrictive way possible) providing support which is free from personal bias, for example, religious or sexuality beliefs. Responsibility For staff this means: making decisions within the scope of their role reporting issues including suspicion of abuse, or neglect, and seeking assistance, as required taking responsibility for decisions made. Collaborative relationships For staff this means: working as part of a team with residents, their families, co-workers, managers, other service providers and members of the community providing the best possible assistance to residents and co-workers. Professional integrity and respect For staff this means providing support with a focus on: resident wishes and desires practice and policy requirements identifying possible conflicts of interest and ensuring these are managed, or avoided respecting residents, their families, co-workers, other service providers and members of the community ensuring communication is open and information is shared, as required, so residents are supported in the residential service and when attending other service providers. Quality For staff this means: working to the best of their ability and setting an example to others not accepting ‘near enough’ as ‘good enough’ for themselves, residents, or coworkers. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – v Person Centred Active Support is the key Person Centred Active Support (PCAS) is the required approach to supporting residents. The approach promotes levels of resident engagement in everyday activities at home and the local community, see RSPM 4.4. PCAS involves 5 organisational components: staff proactively planning opportunities with residents staff identifying their responsibilities and allocating time to support resident involvement in activities staff supporting participation in activities as required via: o verbal instructions o gesture or physical prompts o demonstration o other means favoured by residents. staff documenting resident involvement staff monitoring and reviewing opportunities provided on a regular basis. PCAS has been implemented across department managed residential services, so residents, irrespective of their abilities, or behaviours, can: have more control over their lives be more involved in the community gain independence pursue interests be more connected to others. Resources Code of Conduct for Victorian Public Sector Employees – The code to promote adherence to the pubic sector values by employees of Victorian public sector bodies. Available from the State Services Authority at: www.ssa.vic.gov.au Office of the Senior Practitioner – oversees, and provides information and resources on, the use of restrictive intervention and compulsory treatment. Available on the Department of Human Services website at: http://www.dhs.vic.gov.au/for-individuals/your-rights/offices-protectingrights/office-of-the-senior-practitioner Personal profile template – a template to document a resident’s personal profile. Available on the DAS Hub. The Victorian Charter of Human Rights and Responsibilities – legislation which protects the rights of all people who live in Victoria. Available on the Victorian Legislation website at: http://www.legislation.vic.gov.au Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – vi Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – Part 1 In this section 1 Introduction and context Using the Residential Services Practice Manual 1.1 Working with children and young people 1.1.1 Duty of care in residential services 1.2 Government policies 1.3 Disability Act 2006 1.4 Quality improvement 1.5 Responding to complaints made to the department 1.6 The Disability Services Commissioner 1.6.1 Community Visitors 1.7 RSPM application to service type Each instruction has service type and instruction application codes to assist to identify how the specific instruction applies to supported accommodation by service type. Service type: FBR facility based respite GH group homes STJ short term justice LTR long term rehabilitation program I Sandhurst and Colanda RTF residential treatment facility (DFATS) Instruction application: Y instruction applies in full N instruction does not apply to service type P Partial application. Service required to implement principle of instruction but service not generally directly responsible for planning, monitoring and reviewing components of instruction LD Locally determined based on client plans, service model and protocols. Applicable to STJ, LTR and RTF only Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – Part 1 Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.1 – 1 1.1 Using the Residential Services Practice Manual Issued: August 2012 Applies to all Contents What is the Residential Services Practice Manual (RSPM)? Who does the RSPM apply to? How the RSPM is structured How to apply instruction When is the RSPM reviewed? Where to find the RSPM Terminology Practice queries What is the Residential Services Practice Manual (RSPM)? The RSPM outlines the roles and responsibilities of staff working in department managed residential services. The RSPM outlines the practical application of legislative requirements including: the Disability Act 2006 the Victorian Charter of Human Rights and Responsibilities the Occupational Health and Safety Act 2004 . The RSPM also provides the practical application of government and department policies including the requirements for supporting children and young people in out of home care, see RSPM 1.1.1. Person Centred Active Support which is the required approach for supporting residents in department managed residential services. Who does the RSPM apply to? Each instruction has service type and instruction application codes to assist to identify how the specific instruction applies to supported accommodation by service type. A guide to the code is located with the section contents at the front of each section. The first part has service type codes and that second part identifies the application of the instruction. Where the instruction applies in full to all service types, the note at top of the instruction states ‘applies to all’. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.1 – 2 How this RSPM is structured The RSPM has seven sections each of which have a number of subject parts. Most parts also have a ‘Resources’ section which contains links to: relevant publications information websites forms and templates. Some subject parts contain a heading entitled: ‘Resident Inclusion’. These provides tips on ways to: include residents in meeting practice requirements involve residents in household routines and activities. Practice instructions are interlinked so cross references are provided to show other key instruction that should be taken into consideration when assessing the application of an instruction. These links are show in italics as ‘ see RSPM’ followed by the relevant RSPM chapter and part number, for example, a cross reference to chapter 1, part 1.2 is shown as; see RSPM 1.2. How to apply instruction The RSPM practice instructions are designed to guide practice and the development of the information required to support each resident as an individual, while providing minimum practice standards. The RSPM has been assessed to ensure compliance with legal and policy requirements. Resident support needs may vary significantly and it may not be appropriate to apply all instruction equally to all residents. Application of instruction is to be done in conjunction with Support plans and identified health needs to ensure that support strategies: are based on individual needs respect a resident’s preferences balance a residents right to privacy with staff’s duty of care maximise the resident’s independence are clearly documented. Variation in the implementation of instruction requirements must only occur based on documented individual support needs. The templates provided have been developed to work in conjunction with the instruction and all linked requirements. When developing support information reading the instruction when completing the relevant template will assist the process. Reviewing plans and support information is usually required quarterly, 6 monthly and annually as described in the relevant instruction. Where there is no change needed to the support information, it is sufficient that evidence of the review is provided on the document by noting how review occurred, for example, at a staff or family meeting or medical appointment, and the date the review was done. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.1 – 3 When is the RSPM reviewed? The RSPM has a review of all content every 2 years. This major review allows for changes to structure and wording to occur that will ensure the RSPM reflects the language and terminology best understood by staff in residential services. This review process also ensures continuous quality improvement to practice instruction. Changes will generally only occur to instruction outside this process where there is a significant legislative or policy change that impacts on practice requirements. If this occurs, a range of communication will be circulated to ensure that all staff and managers are aware of the change. Templates will be altered to improve the capture of required information, if there are deficits found in the use of the template. Other resources, for example, Tip sheets, will be added as they are developed. Each part of the RSPM has an issue date under the heading. Templates and information developed specifically for residential services, also have an issue date under the heading. Not all resources used are specific to residential services. For example, Critical Client Incident report templates are used in all program and service areas within the department and these are not specific to residential services. RSPM instruction may have a different issue date to resource templates if changes were not required or made outside of the standard review process. Where to find the RSPM The RSPM has been designed as an online publication with links to a wide variety of resources. Wherever possible staff should be provided with access to the online RSPM. The RSPM is also available in the following formats: Microsoft Word copy for screen reader access located on the Disability Services internet PDF without hyperlinks located on the Disability Services internet. If the RSPM requires printing it is advisable to use the PDF version, to ensure the desired format is maintained. Printing or saving copies of policies and other resources to local computers, or regional websites should not be done. This requirement is to ensure staff access the most current version of information, policies or templates directly from the source document. The search function on the HUB will quickly find the majority of resources required. The DAS Hub has an email link for regional staff to provide RSPM comments and feedback including: content structure of the instructions resources. Staff should use the email link to report any gaps, or information they believe should be included in the RSPM. The email cannot be used where immediate practice advice is required. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.1 – 4 Terminology The term ‘resident’ is used to describe those living in residential services, except where information related to policy or legislation requires an alternative term such as ‘client’ be used. When describing staff roles, the RSPM uses ‘must’ when a legal or policy directive is involved. The absence of ‘must’ in an instruction does not make the instruction optional as the practice requirement remains. Due to regional terminology variations, the RSPM standardises the following: ‘after hours support’ means after hours, on call or night supervisor ‘manager’ means DDSO 4 and 5 (cluster, sector manager or equivalent) ‘DAS Manager’ means the manager responsible for residential services ‘residential services’ means group home, facility-based respite and congregate care settings ‘respite’ means facility-based respite ‘shift report’ means day or communication book ‘supervisor’ means DDSO 3 or 3A House supervisor or equivalent ‘staff’ means DDSO 1, 2 and 3. Practice queries The RSPM provides direction and advice concerning a range of areas and will cover most situations when used in conjunction with residents support plans and documentation. However, there will be times when staff will be required to consult with their supervisor, or manager to identify the best approach for a particular situation or event, based on: the resident concerned the issue involved. Some issues may be localised requiring local strategies to be implemented. If the issue cannot be resolved at a regional level, the matter should be raised via management to central office. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.1.1 – 1 1.1.1 Working with children and young people Issued: August 2012 FBR/GH/I – Y STJ/ LTR/RTF – N Contents Overview Is out-of-home care the same as respite? Child care agreements Court orders Guardianship and decision making Support planning – Looking After Children framework Family centred practice Charter for Children in Out-of-Home Care Role of the manager Role of staff Resources Overview Children and young people with a disability are first and foremost children with developmental needs similar to other children. These needs are best met within supportive families. Sometimes families need support in their caring role and may access respite services, including residential respite. Where a family is no longer able to care for a child, the child may temporarily reside in a respite facility while an alternative placement is found. When a child no longer lives with their family and they are temporarily residing in a respite facility, living with an alternative family or in a residential facility, this is referred to as ‘out-of-home care’. Out-of-home care is regulated by the Children, Youth and Families Act 2005 and can be voluntary, whereby the parent makes an arrangement with a service for the day-to-day care of the child, or court ordered requiring the child to live away from the parents. If a child is placed in residential care there are a number of requirements which must be met to ensure that the child’s best interests are maintained. Is out-of-home care the same as respite? Respite generally provides short breaks for families to assist them to continue in their caring role. Planned, short-term respite is not considered to be an out-ofhome care placement. However, if there are no plans in the short term for the child to return to their parent’s care, the placement can be considered to be an out-of-home care arrangement, and requirements for a child care agreement and support planning apply. Where a parent has indicated that they are no longer able to care for their child at home, Disability Client Services (DCS) should be contacted to arrange for case management. DCS will notify Child Protection of the child’s circumstances. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.1.1 – 2 Child care agreements A child care agreement is a written agreement in accordance with the Child Youth and Families Act 2005 (CYFA), between a parent and service provider to voluntarily place a child in out-of-home care. The child care agreement authorises the service to provide the day-to-day care of the child and specifies the terms and conditions relating to the voluntary placement. A child care agreement under the CYFA, is required for children and young people under the age of 17. Parents retain their rights as guardians, the right to custody and the right to resume daily care and control of the child when they are able. The Secretary must review child care agreements after 6 months and then annually thereafter. Child Protection has the delegated responsibility to review child care agreements. Court orders Under some circumstances, a child or young person may be placed with a residential service under a statutory (court) order, whereby the legal guardian may not be a parent, and specific conditions concerning visitor access and supervision may be in place. For these reasons, it is important that staff are made aware of any conditions specified in a statutory order that relate to the day-to-day care and support of the child. The residential service must have a copy of the court order and a contact number for the allocated Child Protection worker on file. Guardianship and decision making Parents or legal guardians of children under 18 years of age have guardianship and decision making rights and responsibilities. Parents or legal guardians are required to make all major decisions related to: health care finances education Decision-making relating to the day-to-day care and participation of the child in activities should be discussed with parents and the role and responsibilities relating to decision making agreed. Support for the child in making and being responsible for some decisions is important and should also be clear. Parents or legal guardians are required to sign documents when permission is required, and must be informed of activities at the residential service and school. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.1.1 – 3 Support planning – Looking After Children framework Looking After Children is the framework used in Victoria to plan for how a child or young person’s needs will be met while they are living in out-of-home care. Looking After Children has been adopted as the best practice framework to develop support plans (as required by the Disability Act 2006) in residential and alternative family placements. Looking After Children uses a care team approach to share responsibility and effectively work together to respond to a child’s emotional and developmental needs. At a minimum, the care team should include the case manager, key residential services staff and the child’s parents or legal guardian. The case manager has responsibility to lead the planning process. As appropriate, other adult family members and professionals may be part of the care team. The framework considers a child’s needs and outcomes in the following areas: Health Emotional and behavioural development Education Family and social relationships Identity Social presentation Self-care skills. The framework includes a set of tools that support good practice in information collection, record keeping and planning. Once completed, the Care and Placement Plan meets the requirement for a support plan under the Disability Act. Other plans that relate to a child, such as a Health Plan or Behaviour Support Plan, should be referenced in and attached to the Care and Placement Plan so that duplication is avoided. Family centred practice Family centred practice recognises the critical role of family in the lives of children and young people, whether a child is living at home or away from their family. Family centred practice respects the unique needs, views and choices of families in support planning and supporting children and young people. The Family Centred Practice guide for Disability Support Workers outlines the practice approach for staff who support children and young people in respite and residential services. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.1.1 – 4 Charter for Children in Out-of-Home Care The Charter for Children in Out-of-Home Care is a statement of rights of children who are no longer living with their parents and are in out-of-home care. The charter lists what children can expect from the people who look after them and work with them when they are in care. Staff have a responsibility to ensure that children are aware of and understand their rights. There are two versions of the charter available – a standard and an Easy Read version. Role of the manager The manager must ensure that: A current child care agreement exists for a child living in voluntary out-ofhome care. Administration and review requirements of child care agreements under the CYFA are met. If applicable, a copy of any court order and contact details of the allocated Child Protection worker is on the child’s file. Ensure that all staff are aware of any conditions attached to the order. All children in out of home care have a case manager or that a referral to DCS for case management has been made. Staff participate in and engage with the care team to undertake support planning, and work in family-centred ways, to develop a Care and Placement Plan for children in out of home care. All staff working with children in residential care are familiar with the Charter for Children in Out-of-home Care and use the charter in their discussions with the child to ensure that the child becomes familiar with their rights and knows what to do if their rights are not being upheld. Role of staff Staff in residential services who work with children and young people in out of home care need to: If the placement is court-ordered, be familiar with any conditions attached to a court order. Contribute to the development of the Care and Placement plan and support the implementation of it. Ensure that children are familiar with their rights as outlined in the Charter for Children in Out-of-home Care and uphold these rights. Be aware of specific requirements for reporting concerns with the care, see RSPM 1.2 Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.1.1 – 5 Resources Administering Child Care Agreements in voluntary out-of-home care. Handbook and resources available on the DHS Hub at: http://intranet.dhs.vic.gov.au/resources-and-tools/guides-andmanuals/administering-child-care-agreements-in-voluntary-out-of-homecare Looking After Children (LAC) framework in voluntary out-of-home care. Available on the Department of Human Services website at: http://www.dhs.vic.gov.au/for-service-providers/children,-youth-andfamilies/child-and-youth-placement-and-support/overview-of-lacprocesses Charter for Children in Out of Home Care. Available at: http://www.cyf.vic.gov.au/every-child-every-chance/charter-for-children Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.1.1 – 6 Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.2 – 1 1.2 Duty of care in residential services Issued: August 2012 Applies to all Contents Providing appropriate support What is harm? Balancing rights and risk Sharing information to provide duty of care Authorised restriction on activities Role of support staff Resources Providing appropriate support Providing appropriate support is generally assured if staff follow the RSPM practice instructions, in conjunction with support information and associated requirements. This approach also ensures duty of care requirements will be addressed. The department has a duty of care to ensure reasonable action is taken to minimise the risk of harm to anyone who is reasonably likely to be affected by its activities. This includes: residents employees contractors. For example, non-DHS employees such as maintenance contractors and health practitioners, who access group homes for work purposes, should generally be supervised when residents are present. Residents’ family, friends and staff who provide in home day supports do not require supervision in the group home unless otherwise specified in resident’s support information. Staff, as employees, also have a duty of care to people they have contact with in the course of their duties and must take reasonable action to minimise the risk of harm to these people. Reasonable action involves following lawful work directions in line with: the duties and obligations of the position qualifications held the capacity of those being supported to make decisions. For further information, see RSPM Preface. Failure to take reasonable action may constitute a breach of duty of care which needs to be assessed against the Improving Work Performance and Conduct in Disability Services Policy, see RSPM 2.5. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.2 – 2 What is harm? Failure to follow a resident’s support information, and instructions contained in the RSPM constitutes a failure to take reasonable action to protect others from harm. Failure to report the unreasonable actions of others when witnessed may also constitute a failure to take reasonable action. Actions of concern include, but are not limited to: Behaviour – both physical and verbal, to residents and staff which is: – bullying – demeaning – aggressive, or assault. Harm (to residents) which includes, but is not limited to: a failure to provide sufficient food and drink a failure to seek required medical care, see RSPM 5.2, 5.14 – a failure to provide sufficient warmth in winter, or adequate sun protection in summer. Restrictions and exclusion which are not part of an approved Behaviour Support Plan (BSP) such as restricting resident access to: – common areas of the residential service including bathrooms and toilets – personal belongings – activities – money – friends and relatives – food and drink unless this is documented as part of their health management plan, and under regular monitoring and review by their doctor. Balancing rights and risk Staff must consider resident rights and should not unnecessarily restrict resident choices, or actions. Staff are also responsible for taking an active, imaginative and flexible approach to managing potential risks. Staff are required to support residents to make decisions by offering information about options and risks. The department’s Risk Management Framework provides a way to: assess risks develop strategies to reduce the impact of identified risks. If a resident is denied access to an activity, or is subject to a restriction based on the level of risk being unacceptable, the reason must be documented including any assessments to determine the use of restrictive options. When documenting restrictive evidence strategies considered, or tried, when attempting to reduce, or manage the risk, must also be documented. For children and young people, the Child Care agreement must be followed and the consent of parents or guardians may be required before participation in some activities can occur, see RSPM 1.1.1. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.2 – 3 Sharing information to provide duty of care Information may need to be provided to others who support a resident to ensure duty of care obligations are met. For example, the residential service may need to provide information about medication, or a resident’s health status to their day programs. Generally, it is not a breach of privacy legislation to share health information which is required by others to: provide support ensure safety and wellbeing to the person and others. Authorised restriction on activities Where a resident is subject to an authorised restrictive intervention, or Compulsory Treatment Order, staff must follow the requirements detailed in the plans to meet duty of care obligations. This information must: be documented in an approved Behaviour Support Plan, see RSPM 7.3, 7.4 include strategies to reduce restrictions. Role of staff The duty of care requirements of staff can be met by: following the RSPM practice instructions assessing risks and benefits of activities following resident support plans providing support according to individual support guidelines treating residents with dignity and respect remembering the residential service is the ‘home’ of residents, and the ‘workplace’ of staff treating residents as adults with the same right as everyone else to make choices and decisions about their life supporting children and young people in accordance with the Child Care Agreement, see RSPM 1.1.1 implementing health and safety strategies, as required reducing the risk of harm to themselves, residents and co-workers acting on and reporting harm and issues of concern not being affected by alcohol or drugs while on duty raising issues of concern as soon as possible to management or if staff are not comfortable discussing an issue with their manager, they can contact the: – regional Independent Person – DHS central office Corporate Integrity, Information and Resolutions Unit, telephone: 1300 884 706. – using the Critical Client Incident report system and logging non-critical client events, as required, see RSPM 6.4 providing advice and information to assist all people to make an informed decision. This means referring people to others, as required, to ensure: – advice and information is current – relevant – free from bias. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.2 – 4 Resources The Code of Conduct for Victorian Public Sector Employees – a booklet which outlines the responsibilities and obligations of all public sector employees. Available on the State Services Authority website at: http://www.ssa.vic.gov.au Corporate Integrity, Information and Resolutions Unit – co-ordinates and manages enquiries related to complaints management, fraud prevention, whistleblowers, freedom-of-information, privacy and ombudsman reviews. Available on the DHS Hub. The Victorian Charter of Human Rights and Responsibilities – a law which protects the rights of all people who live in Victoria. Available on the Victorian Legislation website at: http://www.legislation.vic.gov.au Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.3 – 1 1.3 Government policies Issued: August 2012 Applies to all Contents Overview Relationship between Government policy and daily work Role of staff and managers Resources Overview The Victoria government draws on a range of national and international obligations and laws to develop specific legislation and policy including those which direct the provision of disability services. These include but are not limited to: The United Nations Convention on the Rights of Persons with Disabilities The Disability Act 2006 The Victorian Charter of Human Rights and Responsibilities. Equal opportunity legislation Anti discrimination legislation. Relationship between Government policy and daily work The RSPM practice instructions articulate the context of legal and policy requirements for residential services, and how these are required to be implemented on a daily basis by support staff. By following the RSPM practice instructions in conjunction with Support Plans, staff will adhere to the required legislation and policy obligations governing their day-to-day work. Role of staff and managers Staff and managers have a responsibility to implement government policy and legislation. The RSPM has been developed to articulate these requirements at a daily practice level. Following the requirements of the RSPM in conjunction with resident’s individual support plans and delivering supports focussed on person centred practice, will ensure obligations are managed. Resources Department of Human services, Disability Services Division website. Provides a range of information, policy, resources and links to services for people with a disability. Available at: http://www.dhs.vic.gov.au/forindividuals/disability-services Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.3 – 2 Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.4 – 1 1.4 The Disability Act 2006 Issued: August 2012 Applies to all Contents What is the Disability Act 2006? What are the objectives of the Disability Act 2006? Resources What is the Disability Act 2006? The community inclusion and participation by people with a disability. The Act effective from 1 July 2007 supersedes the Intellectually Disabled Persons Services Act 1986 and the Disability Services Act 1991. What are the objectives of the The Disability Act 2006 aims to: advance community inclusion and participation of persons with a disability promote a strategic whole of government approach in supporting the needs and aspirations of persons with a disability facilitate the planning, funding and provision of services, programs and initiatives for persons with a disability promote and protect the rights of persons accessing disability services support the provision of high quality disability services make disability service providers accountable to persons accessing disability services ensure the efficient and effective use of public funds in the provision of disability services. Disability Act? Resources The Disability Act 2006 – provides a legislative framework to strengthen the rights and responsibilities of people with a disability. Available on the Victorian Legislation and Parliamentary Documents website at: http://www.legislation.vic.gov.au The Disability Act 2006 – A guide for disability service providers – an 84 page guide to the Disability Act 2006. Available on the Department of Human Services website at: http://www.dhs.vic.gov.au/forindividuals/disability-services The Disability Act 2006 – easy read guides. Available on the Department of Human Services website at: http://www.dhs.vic.gov.au/forindividuals/disability-services Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.4 – 2 Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.5 – 1 1.5 Quality improvement Issued: August 2012 Applies to all Contents What is the quality improvement? How do support staff implement service standards? Quality improvement opportunities How are improvement opportunities identified? Resources What is quality improvement? Quality improvement is a systematic approach to ensuring service standards are met and positive outcomes are delivered. The service standards are defined by the Department of Human Services Standards and independent review process. For detailed information staff may refer to the web page link located in the resource section of this instruction How do support staff implement service standards? Minimum service delivery standards for Disability Accommodation Services are described by the Residential Services Practice Manual (RSPM). Support staff implement service standards on a daily basis by: following the resident’s Support Plan participating in the development of, and following specific daily support guides such as specific health management information, in line with relevant RSPM instruction following the RSPM to guide the meeting of individual resident needs documenting evidence that required support is provided by completing records as needed, for example, completing medication administration records. Quality improvement and compliance with service standards is not additional to normal work requirements. It is ensuring support for each individual resident is implemented as required. Quality improvement opportunities Each group home is to have improvement opportunities identified. Actions to ensure improvement opportunities are implemented should be incorporated into normal routines and activities of the group home as far as possible. Identifying opportunities for improvement is an ongoing process. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.5 – 2 How are improvement opportunities identified? Improvement opportunities may be identified in a number of different ways such as: Formal activities: – Complaints – reviews of incidents – independent auditing – internal review processes – goals identified in resident Support Plans – reviews of adverse events such as client death Informal activities – individual client feedback – client and staff meetings – staff professional development – feedback from families or others within a resident’s support network Resources Department of Human Services Standards and independent review process – guides, resources and information sheets. Available at http://www.dhs.vic.gov.au/about-the-department/documents-andresources/policies,-guidelines-and-legislation/department-of-humanservices-standards Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.6 – 1 1.6 Responding to complaints made to the department Issued: August 2012 Applies to all Contents Why complaints are important Who can make a complaint? How to manage complaints Role of support staff Resources Why complaints are important Complaints are an opportunity: for service providers and staff to assess the residential service and support provided to improve service provision quality to improve resident outcomes. Who can make a complaint? Any person, group or their representative, including residents, can make a complaint if they are dissatisfied with a: departmental service decision which has been made about them. General expressions of concern and appealable matters are not defined as complaints. Appealable matters are those which are dealt with by: the Victorian Civil Administration Tribunal (VCAT) the courts. How to manage complaints Where possible, complaints should be managed at the local level. Each region has a complaint management process which is available to residents or interested parties. Role of support staff Staff who receive a complaint must: assure the complainant they will do their best to resolve the issue, or refer it to someone who will write down the details and check with the complainant they are correct if appropriate, ask the complainant, if they have any suggestions about how to resolve the matter inform management of the complaint check the incident categorisation table to determine the reporting required, a Critical Client Incident report or entry on the non-critical client event log follow regional complaint processes. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.6 – 2 Resources Corporate Integrity, Information and Resolutions Unit – provides information, advice, training and tools to support compliance with privacy legislation. Available on the DHS Hub. Regional Complaint Processes – regional information available on regional websites, or contact the regional officer responsible for complaints. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.6.1 – 1 1.6.1 The Disability Services Commissioner Issued: August 2012 Applies to all Contents What is the role of the Disability Services Commissioner? What complaints can be made to the Disability Services Commissioner? Who can make a complaint? How to make a complaint Resources What is the role of the Disability Services Commissioner? Under the Disability Act 2006, the Disability Services Commissioner has a broad range of functions related to: complaints about disability services complaint conciliation. The specific functions of the commissioner are detailed in Section: 16 of the Act. These include: providing information and education about complaints processes improving complaints processes investigating and conciliating complaints making broad recommendations about resolving complaints, or issues arising from complaints determining actions which should be taken by disability services providers with regard to complaints. What complaints can be made to the Disability Services Commissioner? The Disability Services Commissioner responds to complaints about: the provision of disability services a disability service provider acting unreasonably by not properly investigating, or taking proper action on a complaint made to them. Who can make a complaint? Any person can make a complaint to the Disability Services Commissioner. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.6.1 – 2 How to make a complaint Resources A complaint can be made: orally in writing by other means appropriate in the circumstance. The Disability Act 2006 – provides a legislative framework to strengthen the rights and responsibilities of people with a disability. Available on the Victorian Legislation and Parliamentary Documents website at: http://www.legislation.vic.gov.au Disability Services Commissioner – the Commissioner provides information about complaints processes and responds to complaints. Available from: http://www.odsc.vic.gov.au Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.7 – 1 1.7 Community Visitors Issued: August 2012 Applies to all Contents What is the role of Community Visitors? What legal authority do Community Visitors have? Access to health files and medical records When do Community Visitors visit? How to contact a Community Visitor Role of support staff If a Community Visitor expresses concern Resident inclusion Resources What is the role of Community Visitors? Community Visitors play an important role in advancing the quality of services for residents in residential services. Community Visitors make regular visits to residential services to identify issues of concern from a resident’s perspective. The role and function of Community Visitors, and service provider responsibilities related to Community Visitors are contained in Sections: 28 to 36 and 129 to 132 of the Disability Act 2006. What legal authority do Community Visitors have? Community Visitors have legal authority to: inspect any part of a residential service and see any person living there at any time, with or without, previous notice make enquiries about the provision of services inspect any document related to a person living at the service which is not a medical record, and any records required to be kept by, or under the Act, including: – financial and health records – Critical Client Incident reports inspect any medical records related to a person living in the service, with the consent of the person, their guardian, or a ‘person responsible’ as defined in section: 37 of the Guardianship and Administration Act 1986. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.7 – 2 Access to health files and medical records A medical record is a record created by a treating medical practitioner for a medical purpose, that is, for the medical assessment, diagnosis and treatment of a person. Inspection of these requires consent, as outlined above. Community Visitors may access health information kept in Disability Accommodation Services and should not be blocked from this access on the basis that the files may also contain medical records. All Community Visitors are bound by the secrecy provision of section 36 of the Disability Act and, as such it is their responsibility to ensure any information they find is only used for the purpose of carrying out their responsibilities under the Disability Act, and that they seek the appropriate consent where they wish to review any Medical Record. When do Community Visitors visit? Community Visitors make scheduled and unscheduled visits. Residential services are not usually formally advised when a visit is about to happen. Community Visitors also visit when a person, or their representative requests they do so. The manager, or nominated staff must notify the Community Visitors Board of Requests, as soon as possible, within 72 hours of receiving a request. Community Visitors must respond to requests within seven days. In some circumstances the Public Advocate may visit. How to contact a Community Visitor Community Visitors can be contacted via the Office of the Public Advocate: telephone: (03) 9603 9500 toll free: 1300 309 337. Role of staff Staff must ensure residents have access to Community Visitor information such as the easy read poster. When Community Visitors visit staff must: request identification from Community Visitors before allowing them onto the premises treat Community Visitors with respect introduce the Community Visitors and explain their role to people living at the service assist Community Visitors as requested, including providing full and true answers to questions to the best of their knowledge not prevent access to resident information on the basis that it may also contain medical records. respect a resident’s right not to speak to Community Visitors, if they choose document a visit has occurred in the shift report sign the Community Visitors record of visit form ensure the record of visit form is forwarded to the regional office via management. Staff must also assist resident’s to contact Community Visitors if requested. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.7 – 3 If a Community Visitor expresses concern If a Community Visitor expresses concern about the residential service, staff must inform management as soon as possible. Resident inclusion Residents should be supported to lead the visit as far as possible. This includes: opening the door introducing Community Visitors to staff on duty answering any questions raised being encouraged to ask questions and raise issues with Community Visitors being informed about and asked permission to access to information related to them. Resources The Disability Act 2006 – provides a legislative framework to strengthen the rights and responsibilities of people with a disability. Available on the Victorian Legislation and Parliamentary Documents website at: http://www.legislation.vic.gov.au The Office of the Public Advocate (OPA) – protects and promotes the rights of people with a disability and includes resources to inform people of their rights. Available at: http://www.publicadvocate.vic.gov.au The Protocol between Disability Service Providers and Community Visitors program – a protocol which outlines the roles and responsibilities of Community Visitors and the responsibilities of government and nongovernment staff. Available on the Department of Human Services website at: http://www.dhs.vic.gov.au/for-individuals/disabilityservices/your-rights/community-visitors-program/community-visitorsprotocol Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 1.7 – 4 Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – Part 2 In this section 2 Working for DHS Conditions of employment, rights and responsibilities 2.1 Work attire guidelines 2.1.1 Learning, development and support 2.2 Positive and fair workplaces and review of actions 2.3 Support for employees 2.4 Managing work performance and conduct 2.5 RSPM application to service type Each instruction has service type and instruction application codes to assist to identify how the specific instruction applies to supported accommodation by service type. Service type: FBR facility based respite GH group homes STJ short term justice LTR long term rehabilitation program I Sandhurst and Colanda RTF residential treatment facility (DFATS) Instruction application: Y instruction applies in full N instruction does not apply to service type P Partial application. Service required to implement principle of instruction but service not generally directly responsible for planning, monitoring and reviewing components of instruction LD Locally determined based on client plans, service model and protocols. Applicable to STJ, LTR and RTF only Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – Part 2 Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 2.1– 1 2.1 Conditions of employment, rights and responsibilities Issued: August 2012 Applies to all Contents What are the conditions of employment? What is the Code of Conduct for Victorian Public Sector Employees? Where is the Code of Conduct? Employee responsibilities What happens if employees breach their responsibilities? Resources What are the conditions of employment? The terms and conditions of employment determine the rights and responsibilities of departmental employees contained in the current workplace agreement between the Department of Human Services and the Health and Community Services Union. Conditions of employment include: rostering principles job classifications rates of pay and allowances leave entitlements the provision of a healthy and safe workplace grievance and dispute resolution. Staff have a right to be reimbursed for ‘out-of-pocket’ expenses incurred in the course of their duties, but must cover the cost of non-work related expenditure such as personal: telephone calls meals. Staff should refer to the ‘Staff Expenses’ and Staff Meals’ guidelines located in Resources. What is the Code of Conduct for the Victorian Public Sector Employees? The Code of Conduct for Victorian Public Sector Employees outlines the standard and behaviour expected of public sector employees. The Code of Conduct for Victorian Public Sector Employees is designed to: help employees understand their responsibilities and obligations provide guidance if employees are faced with a work-related ethical dilemma, or conflict of interest. Where is the Code of Conduct Employees receive a copy of the Code of Conduct for Victorian Public Sector Employees when they commence working for the department. Employees can also obtain a replacement copy from: their manager regional human resources staff the State Services Authority. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 2.1– 2 Employee responsibilities Employee responsibilities include: following the Code of Conduct for Victorian Public Sector Employees following the departmental values maintaining duty of care requirements modelling appropriate behaviour reporting inappropriate behaviour co-operating with management maintaining confidentiality and ensuring privacy accurately documenting attendances and absences on timesheets following occupational health and safety requirements. What happens if employees breach their responsibilities? A breach of responsibilities, or Code of Conduct may lead to discipline action and, if it constitutes serious misconduct, may result in termination of employment. Resources Code of Conduct for Victorian Public Sector Employees – a booklet which outlines the responsibilities and obligations of all public sector employees. Available on the State Services Authority website at: http://www.ssa.vic.gov.au HSUA and Disability Services workplace agreement – the current industrial agreement between Disability Services employees and the Health and Community Services Union. Available on the DHS Hub. Human resources – comprehensive human resources information, tools and contacts for department employees. Available on the DHS Hub. Staff expenses – information about out of pocket expenses and claiming reimbursement. Available on the DAS Hub. Staff meals – information about staff contributions to meal cost and payment required. Available on the DAS Hub Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 2.1.1 – 1 2.1.1 Work attire guidelines Issued: August 2012 Applies to all Contents Overview Considering resident support needs Attire that is not suitable in residential services Suitable clothing Footwear requirements Hair Overview It is important that Disability Accommodation Services (DAS) staff dress in attire that meets workplace Occupational Health and Safety requirements and is suitable to the type of tasks that will be undertaken. Staff may also be role models for residents so in addition to wearing appropriate clothing, staff should also ensure good personal hygiene and grooming. Considering resident support needs The resident group and the tasks required must be considered. Staff are to remain aware of the need to work in close physical proximity to some residents, for example, dresses, skirts or sleeveless tops may not be suitable due to the amount of movement such as reaching and bending that may be required. Each workplace should have general information about the attire best suited to the resident group and duties required. Where there is a specific risk, for example a resident who pulls hair, the requirement to have hair securely fastened must be communicated to all staff before they attend the workplace, or immediately on arrival. Attire that is not suitable in residential services Some clothing and accessory items are not suitable for the work environment and should not be worn. These include: clothing with logo’s, graphics or advertising that may be offensive excessively loose clothes that risk being caught on equipment thongs, high heels and open shoes clothing, jewellery and accessories that have dangling attachments or loops that can be caught on equipment or pulled by residents. Wearing rings should be carefully considered as they can pose a risk of injury when operating certain types of equipment such as hoists and specialised beds, as they can become caught in the mechanisms. In addition rings with raised parts may inadvertently scratch or injure residents when providing personal care. Infection prevention and control also advises that rings be removed for hand washing which creates the risk of them being lost. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 2.1.1 – 2 Suitable clothing Suitable clothing should: provide ease of movement give adequate coverage when reaching or bending be suited to the tasks required during the shift. Footwear requirements Occupational Health and Safety guidelines recommend that footwear is enclosed and suitable for the work area. Road safety authorities also recommend footwear that is flat and securely fastened for driving. In DAS, footwear must be enclosed and staff should consider if: footwear will be suitable for bathing and showering the sole is non-slip the heel is flat to reduce slipping and tripping risk Hair Long hair and long beards should be securely tied. It is not appropriate to provide close physical support with hair brushing a resident and it may come into contact with body fluids. Hair and long beards should also be tied back when preparing food for residents. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 2.2 – 1 2.2 Learning, development and support Issued: August 2012 Applies to all Contents What is learning and development? What is competency? What learning and development activities must employees attend? Attending learning and development activities When staff are unable to attend a required learning activity Identifying learning and development needs What is the Professional Development and Support process? What professional development activities can be undertaken Assistance available for learning and development Resources What is learning and development Learning and development is an on-going process of maintaining, improving and developing new skills and knowledge. Learning and development occurs through formal and informal processes. Formal learning involves participation in activities and tasks which lead to a qualification, or recognition of competency and includes: traineeships first aid certificates tertiary courses, such as certificates, diplomas and degrees in Disability studies workplace specific training such as work safety requirements, or specific health support professional supervision and mentoring. Informal learning includes: coaching workplace induction mentoring observation and activity practice participation in communities of practice or networks practice feedback and reflection. Informal learning can be used as evidence towards recognition of competency for more formal learning and development activities. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 2.2 – 2 What is competency? According to the Australian Training and Qualification Framework, being deemed competent … requires demonstrated evidence of a combination of essential skills and knowledge which enable a person to consistently perform tasks to the industry standard …. To be deemed competent staff must provide evidence and be assessed by a qualified assessor from a Registered Training Organisation (RTO). This is what is meant when a RSPM practice instruction states staff must be competent. There are departmental staff who have the Certificate IV Workplace Trainer and Assessor qualification, however, the department is not an RTO, therefore, to be formally recognised as competent, training and assessment undertaken by these staff must be reviewed and signed-off by an RTO. Questions related to competency issues can be referred to regional Learning and Development Co-ordinators. What learning and development activities must employees attend? Staff must attend learning and development activities related to their job requirements. These include: first aid and fire safety training learning activities linked to resident needs, such as specific health management training work safety, such as manual handling and other occupational health and safety requirements. Learning and development activities beyond immediate work requirements are determined according to: resident need staff need organisational priorities. Attending learning and development activities Rostered and casual staff are paid to attend learning and development training opportunities. Managers must ensure: training is viewed as an integral part of the support role appropriate backfill and other support, as required, is provided to enable training attendance adequate notice of training is provided staff are not disadvantaged by attending training. Training attendance for rostered staff may involve: working the remaining hours of a shift for which they are rostered, provided the remainder of the shift is of at least two hours duration after allowing travel time to return to duty not working a night shift finishing on the morning a training day begins, or commencing at the end of a full training day working a night shift after attending a morning training session. Staff rostered to work a sleepover, finishing on the morning a full training day begins, are only required to complete the previous evening component of the sleepover shift, prior to the training event. Staff attending half-day training, on an afternoon, or morning may work the morning, afternoon, or sleepover shift, as applicable, if rostered. In some instances required learning activities may be scheduled in the evening. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 2.2 – 3 When staff are unable to attend a required learning activity If staff cannot attend a scheduled learning and development opportunity they must inform the manager immediately who must inform the regional Learning and Development Co-ordinator. It is important staff notify the manager if they cannot attend training as: fees may be incurred, if a substitute attendee is not available another staff may miss out on the training opportunity the manager may be able to resolve the issue which has caused the inability to attend training. A mandatory qualification lapse may create a duty of care risk resulting in staff being unable to work unsupervised shifts. If staff experience difficulty attending a learning and development activity, they must discuss this with their supervisor, or manager. If they do not attend a learning and development activity without a reason, and after support to enable them to attend has been offered, the issue may need to be dealt with via the Managing Performance and Conduct in Disability Services policy. Identifying learning and development needs The identification of learning and development needs is an important part of providing high quality practice. Staff work in a dynamic environment where resident needs and organisational requirements can change regularly. Some changes will be accompanied by learning and development activities; others will require informal approaches such as reflection, feedback and planning. The Professional Development and Support (PDS) system is the process used to identify learning and development needs. What is the Professional Development and Support process? The PDS is a negotiated relationship which provides regular opportunities for discussion, review and planning of individual staff and organisational objectives. PDS is a process designed to assist supervisors and staff to: discuss learning and development opportunities establish and review professional development plans. PDS involves regular planned one-on-one meetings, between staff and their supervisor, or equivalent to: clarify job roles facilitate reflection discuss practice identify development and support needs. PDS discussions and agreed actions and timeframes need to be recorded and copies kept by each party. Managing performance and conduct is part of regular management responsibilities and should be undertaken separately to PDS, and in line with the Managing Performance and Conduct in Disability Services policy. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 2.2 – 4 What professional development activities can be undertaken There are many ways to achieve learning and development outcomes identified via PDS discussions. Most learning and development needs can be met by on-the-job coaching and workplace practice opportunities. Regional Learning and Development Co-ordinators can provide advice about ways learning and development outcomes can be addressed. These include: e-learning options formal training links to local communities of practice networking contacts. PDS also requires staff to explore and identify development opportunities such as: mentoring individual research tasks. Assistance available for learning and development Resources The department offers a range of study scholarships and awards to assist staff undertake further study, or research. Assistance may also be available by obtaining study leave which is available via regional application and on a case-by-case basis. Applications are usually required by mid-September each year. Disability studies scholarships and Ethel Temby study tour awards information about the scholarships and awards and how to apply for them. Available on the Department of Human Services website at: http://www.dhs.vic.gov.au/for-service-providers/funding-andgrants/disability-services-study-grants Human resources – comprehensive human resources information, tools and contacts for department employees. Available on the DHS Hub. Workforce Development and Learning – detailed learning and development information for Disability Services employees. Available on the DHS Hub. Professional Development and Support – Implementation guidelines. Available on the DHS Hub. Professional Development and Support – DVD resource. Available on the DHS Hub. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 2.3 – 1 2.3 Positive and fair workplaces and review of actions Issued: August 2012 Applies to all Contents What is the Positive and Fair workplaces policy? Role of staff Who can provide support? Fair treatment supports and interventions What is a review of actions? What does the Resolving of Actions policy do? Role of managers Resources What is the Positive and Fair workplaces policy? The department has an on-going commitment to: provide a workplace where staff are treated fairly promote a safe working environment free from: discrimination harassment workplace bullying interpersonal conflict. The Positive and Fair Workplaces policy provides a framework to promote fair workplace treatment. The associated procedures provide guidance about ways to identify and address unfair treatment in a timely and sensitive manner, so it ceases. The policy encourages, in the first instance, resolution of issues at the workplace level. There is also provision of a more formal process if: local resolution cannot be achieved the nature and severity of the issue warrants a more formal approach. The policy does not cover management actions, or decisions which may appear to be unfair. These are managed via the Review of Actions Policy. Breaches of other policies and instructions may be dealt with under discipline processes, see RSPM 2.5. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 2.3 – 2 Role of staff Staff must: behave in a reasonable and fair manner at all times actively promote, model and support fair workplace treatment. Staff who believe they have been subjected to unfair treatment should: familiarise themselves with the policy and associated procedures actively participate in processes to address the matter (in good faith) reflect on unfair treatment experienced and take timely, appropriate action to address it. Where possible staff should consider raising the issue with: the parties involved the manager and higher level manager identify what they want changed, or how they would like things to be in the future decide if they are able to respond to the issue themselves, or if assistance is required, to address the matter locally decide to use the department’s fair treatment processes, or approach an external body for assistance ensure they discuss the issue only with those who have a direct need to know about it. Who can provide support? Advice or assistance can be obtained by talking to: management the regional Diversity and Equity contact Human Resources a Health and Safety Representative a fair treatment officer staff support contacts the Employee Assistance Program. Fair treatment supports and interventions A number of early intervention services are available to assist staff in resolving conflict. These include: conflict coaching mediation conciliation facilitated discussion workplace conferencing awareness training work-related stress risk management. Managers should consult Human Resources about: the type of support required ways to support the implementation of strategies to address the conflict. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 2.3 – 3 What is a grievance? A grievance is a genuine concern about a decision, or action which adversely impacts on an employee. The concern may be related to: a delayed decision manager inaction. This includes, but is not limited to breaches of: – conditions and entitlements of the current HSUA and Disability Services workplace agreement – the principles of merit and equity – the department’s policies or guidelines. What does the Review of Actions policy do? The Review of Actions policy provides employees who have a genuine, nonvexatious grievance about decisions, or actions which adversely impact on them, access to a review of the decisions, or actions. The objective of the review of actions process is to provide employees with the right to access a process to resolve genuine workplace concerns without: fear of prejudice victimisation. The process requires regional managers to: respond attempt local resolution, in the first instance. If the issue cannot be resolved locally, it may be referred to the department’s formal Review of Actions process. Role of managers Resources Managers should take all reasonable action to ensure issues are resolved as soon as possible. This includes: acknowledging issues as they are raised seeking assistance, as required implementing agreed resolution strategies. Diversity and equity – detailed information, policies and guidelines on equity and diversity. Available on the DHS Hub. Positive and Fair Workplaces policy and procedures – policy and guidelines. Available on the DHS Hub. Human resources – comprehensive human resources information, tools and contacts for department employees. Available on the DHS Hub. The Review of Actions policy. Available on the DHS Hub. The current HSUA and Disability Services workplace agreement. The industrial agreement between Disability Services employees and the Health and Community Services Union. Available on the DHS Hub. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 2.3 – 4 Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 2.4 – 1 2.4 Support for employees Issued: August 2012 Applies to all Contents What supports are available for employees in distress? What is EAP? What is CISM? Support for residents involved in a critical incident How to contact the CISM service Work-related stress policy Resources What supports are available for employees in distress? Employees experiencing difficulties with personal, or work-related issues which affect their work performance can access the Employee Assistance Program (EAP). Employees experiencing emotional reactions to significant workplace incidents can access the Critical Incident Stress Management (CISM) service. What is the EAP? The EAP is a personal and confidential counselling service which provides a limited number of counselling sessions to help clarify situations with a focus on problem solving and solutions. The EAP is provided by an independent external organisation. What is CISM? Departmental work can be difficult, challenging and distressing. The CISM service assists employees to work through the emotional effects of workplace incidents. The CISM service offers confidential demobilising, defusing, debriefing, individual, or group peer support. Support for residents involved in a critical incident Significant incidents can also impact on residents who may benefit from debriefing support. Managers will need to access local service providers, or contact the regional Intake Service for advice. How to contact the CISM service Each region has a CISM service co-ordinator and a team of employees who are trained as critical incident support workers and de-briefers. Staff can contact the service co-ordinator to arrange support. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 2.4 – 2 Work-related stress policy The Work-related stress policy aims to: promote psychological wellbeing assist in the prevention and management of stress-related injury. The policy contains checklists, information and strategies to assist in recognising and reducing the symptoms and impacts of work-related stress. Resources Critical incident stress management – detailed information, policies, guidelines and contacts on CISM service. Available on the DHS Hub. Employee Assistance Program – detailed information, policies, guidelines and contacts on EAP. Available on the DHS Hub. Human resources – comprehensive human resources information, tools and contacts for department employees. Available on the DHS Hub. Work-related stress policy – a guide to assist in the prevention and management of stress related injury. Available on the DHS Hub. WorkSafe Victoria – website of the Victorian WorkCover Authority which manages Victoria’s workplace safety system. Available at: http://www.worksafe.vic.gov.au Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 2.5 – 1 2.5 Managing work performance and conduct Issued: August 2012 Applies to all Contents What does satisfactory performance mean? Role of the supervisor and manager When should the discipline process be used? How does the discipline process work? Resources What does satisfactory performance mean? Satisfactory work performance means employees perform the duties and meet the standards and requirements of their role according to: the position description and classification standards relevant qualifications, training and professional standards public sector and departmental values the Code of Conduct for Victorian Public Sector Employees. Role of the supervisor and manager Supervisors and managers must model behaviour which reflects the required standards of work performance. Managers and supervisors promote and guide high standard of work performance by: recognising good work performance using formal and informal recognition regular on-going communication and feedback which identifies and discusses minor work performance matters, as they arise discussing learning and development needs providing coaching and modelling of safe work practices attending to environmental and physical resource needs. The PDS process should be used to promote good practice and encourage skill development. The Improving Work Performance and Conduct in Disability Services policy should be used to manage unsatisfactory work performance. When should the discipline process be used? The discipline process is outlined in Section: 3 of the Managing Performance and Conduct in Disability Services policy. This policy must be used to deal with: misconduct matters and serious misconduct unsatisfactory performance matters which have not been resolved via remedial action. Access the Disability Accommodation Services Hub to ensure the most up to date information is used Residential Services Practice Manual 3rd Edition – 2.5 – 2 How does the discipline process work? Resources When allegations are received concerning employees breaching required performance, or conduct standards, they must be managed according to Part: 3 of the Managing Performance and Conduct in Disability Services policy. This policy is based on the unsatisfactory performance and discipline procedure schedule in the current workplace agreement between the Department of Human Services and the Health and Community Services Union. This policy reflects the mandated process for resolving allegations of misconduct and serious misconduct matters in a fair and transparent way. The policy includes: a process for responding to employees who are not meeting the minimum requirements of their role and whose performance has fallen below the required standard a framework to address and resolve misconduct and serious misconduct matters an issue assessment tool to assist managers to identify if an issue needs to be dealt with as: misconduct serious misconduct. The current HSUA and Disability Services workplace agreement. Available on the DHS Hub. Human resources – comprehensive human resources information including staff support, equity and diversity, tools and contacts for department employees. Available on the DHS Hub. Managing performance and conduct in disability services policy – a 37 page policy. Available on the DHS Hub. Professional Development and Supervision – information to assist supervisors and employees to access assistance and professional development planning. Available on the DHS Hub. Access the Disability Accommodation Services Hub to ensure the most up to date information is used