ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

Coordinate the delivery of the individualised plan

1.1 Identify and prioritise the needs, goals and preferences of the older person outlined in the individualised plan

1.2 Coordinate services and support activities in consultation with the older person and colleagues

1.3 Outline and clarify all service providers’ understanding of the individualised plan and their roles and responsibilities

1.4 Recognise signs consistent with financial, physical or emotional abuse or neglect of the older person and respond in line with organisation guidelines

2. Liaise and negotiate with appropriate personnel and service providers

2.1 Support the older person to access and negotiate resources in order to deliver identified services

2.2 Support the older person to access community support agencies to facilitate the achievement of established goals

2.3 Recognise when a service and/or support worker is no longer able to provide the level of service required and take action to minimise disruption to service delivery

3. Support family and carers

3.1 Recognise the impact of support issues on the carer/s and families and refer appropriately

3.2 Provide support and respite for carer/s

4. Coordinate feedback

4.1 Explain to all service providers the mechanism/s for providing feedback on the effectiveness of the individualised plan

4.2 Obtain feedback from service providers on the effectiveness of the individualised plan and report to supervising health professional

4.3 Seek feedback from the older person and/or their advocate and report to supervising health professional

4.4 Support the older person to seek advice and assistance from relevant health professionals when their goals are not being reached