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Elements and Performance Criteria

Required Skills

This describes the essential skills and knowledge and their level required for this unit

Essential knowledge

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit manage the task and manage contingencies in the context of the identified work role

These include knowledge of

Literature on models and practices in goaldirected care planning

The range of services resources and holistic solutions available to clients with complex needs

Components of service delivery system

Gaps in the service system

Characteristics and needs of identified client population

Significance of the service setting such as working in the clients home

Organisation policies and practices relating to care planning

Professional standardscode of ethics and relevant legislative requirements

Government legislation regulations policies and standards

Documentation requirements and practices

Duty of care requirements when developing and implementing care plans

Current research in area of practice

Essential skills

It is critical that the candidate demonstrate the ability to

Work within professional standards and applicable government legislation regulations policies and standards

Use data drawn from a range of client needs assessment information as a basis for planning care services to address client needs

Review and apply outcomes data as a means to continually improve practice and make adjustments to care plan

Practise in an ethical manner noted by professional discipline or defined ethical standards

Work within guidelines for currently identified best practices

Minimise client dependency by developing their self management skills

Examine issues related to sustainability of care to address clients level of need

Demonstrate actions to support improvementmaintenance of quality of life for clients

Navigate the service delivery system to meet client needs and support encouragement of client independence where possible

Apply communication and leadership skills with providers to services and resources meet client needs

Maintain client confidentiality when engaging stakeholders

In addition the candidate must be able to effectively do the task outlined in elements and performance criteria of this unit manage the task and manage contingencies in the context of the identified work role

These include the ability to

Demonstrate application of skills in

consultation liaison and negotiation

analysis of assessment and other data

report case note and care plan writing

liaison with other organisations and service providers

Evidence Required



The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria Required Skills and Knowledge the Range Statement and the Assessment Guidelines for this Training Package

Critical aspects for assessment and evidence required to demonstrate this unit of competency	The individual being assessed must provide evidence of specified essential knowledge as well as skills This unit of competence will be most appropriately assessed in the workplace or in a simulated workplace and under the normal range of workplace conditions eg writing care plans based on case studies writing case notes based on case studies Assessment may be conducted over one or more occasions and should include both the development and promotion of best practice

Access and equity considerations	All workers in community services should be aware of access equity and human rights issues in relation to their own area of work All workers should develop their ability to work in a culturally diverse environment In recognition of particular issues facing Aboriginal and Torres Strait Islander communities workers should be aware of cultural historical and current issues impacting on Aboriginal and Torres Strait Islander people Assessors and trainers must take into account relevant access and equity issues in particular relating to factors impacting on Aboriginal andor Torres Strait Islander clients and communities

Context of and specific resources for assessment	This unit can be assessed independently however holistic assessment practice with other community services units of competency is encouraged Resources required for assessment include access to an appropriate workplace where assessment can take place simulation of realistic workplace setting

Method of assessment	Assessment may include observation questioning and evidence gathered from the workplace setting Examination of written examples of care plans and written examples of case notes

Range Statement



The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.

Care planningmay include, for example:	Identifying range and type of specific services to be provided Planning details of each specific service to be provided, such as domestic assistance respite nursing care Consideration of OHS and risk management issues and strategies to address these Referral strategies as required to address breadth of client needs Information about services, resources or activities the client may follow up independently, such as: Health promotion Local social or active living opportunities Self management strategies and activities Self-referral to other services

Complex needs may refer to:	Client needs requiring multiple service types with heightened needs for collaboration between service providers Clients with a range of needs that may not be met by available services and resources Clients who have family and carer needs that require additional service inputs People who have broad range of care needs related to chronic and/or multiple health issues and who require assistance to access the service system as well as a high level of ongoing advocacy

People in complex circumstances and identified as having high levels of need may refer, for example, to:	Families with children with disabilities where a number of different organisations are providing support People with disabilities with a diverse range of needs arising from physical and behavioural causes People with disabilities requiring the development of appropriate responses for personal and/or respite care People with complex medical issues which may pose critical issues for assessment and care planning Older people with chronic illness and unstable health conditions requiring coordinated management across acute, sub acute and community health sectors Older people with dementia and/or other cognitive impairment Older people who are extremely socially isolated and withdrawn Circumstances involving difficult OHS issues for community sector workers People with mental health issues, whose functional limitations may fluctuate substantially over time People with psychiatric disabilities where inter-organisation agreements may be required to access specialist assessment expertise People with family and carer needs that require additional service inputs

Inter-organisation relationships and agreementsmay relate to:	Access to specialist expertise for secondary consultations , advice or assessment Extent and type of information provided on referral Joint assessment Case conferencing Care planning and ongoing support Use of specialist assessment tools Involvement in assessment of family members and other organisations providing services Receiving relevant information from health practitioners and/or support workers