Disability

• There are two sets of disability standards:– Industry Standards– Outcome Standards

• The 9 Industry Standards cover service delivery and are all about processes and service management

• The Outcome standards are 5 specific standards that cover meeting the 16 life area important to the pws.

9 Industry Standards include:1. Service Access

– fair and equitable practices, what information we provide (including fees and charges), if we can provide a service the reason why and referrals to more suitable services

2. Individual Needs– Planning and support that is flexible and responsive and

appropriate to the individuals needs and support needs are reviewed. For residential and day services the act states supports must be reviewed at least annually. For everyone else it can occur within a three year timeframe. However best practice would be to review that support at least annually.

3. Decision Making and Choice– Ensuring pws have control of their decision making and aware

of all the choices available to them and full information about the support and service on offer

4. Privacy, Dignity and Confidentiality– Privacy dignity and confidentiality are maintained

5. Participation and Choice– Pws have are provided opportunities to participate fully in the

community and make choices

6. Valued Status– Pws are supported to participate as valued members of the

community

7. Complaints and Disputes– Complaints are addressed promptly and fairly and without

retribution

8. Service Management– Looks at the policies and procedures that govern the

organisation’s management and governance structures – eg recruitment, strategic planning, learning and development, privacy, service access, risk management, OHS, audit process, planning, complaints and disputes, feedback, financial management, IR management, staff competencies

9. Freedom from abuse and Neglect– Safe and healthy environments and human rights are

exercised. Allegations of abuse and neglect and investigated promptly

Outcome Standards1. Individuality

– Each individual has goals, aspirations and support needs and makes decision about their life

2. Participation– Each individual is able to access and participate in their

community

3. Capacity– Each individual has the ability and potential to achieve a valued

role in the community

4. Citizenship– Each individual has rights and responsibilities as members of

the community

5. Leadership– Each individual informs the way supports are provided

1. Being Safe2. Communicating3. Exercising

Rights and Responsibilities

4. Being Independent

5. Looking after self

6. Choosing Supports

7. How to Live8. Where to Live9. Paying for

things

10. Moving around11. Doing valued

work12.Always

Learning13.Building

Relationships14.Being part of a

community15.Having Fung16.Expressing

culture

Auditing Requirements• The scope of the audit is DHS directly

funded individuals through ISP, in residential units, day services, FFYA, and respite, outreach support

• There will be two stages to the audit

• Stage 1 (Oct 28-Nov 4) will occur at head office. It is a desktop review and will basically be looking at how we meet the 9 industry standards

• Stage 1 audit will also be a planning stage for Stage 2 of the audit.

• Some of the crucial areas they will look at during stage 1 are;– Governance structures– Strategic planning– Financial management of the organisation and how

we management pws funds and accounting process and systems in place

– Client feedback mechanisms – HR management

– Complaints – mechanism and handling processes and that we are complaint with the requirements of the DSC

– Incident reporting – trend analysis– Behaviour Support – that we are compliant with the

requirements of the Office of the Senior Practitioner and reviewed at least annually or sooner as specified.

• At the conclusion of Stage 1 the report will be provided which will outline areas that need to be addressed, potential areas of non compliance and work that may be required to be compliant to the standards by stage 2.

• Stage 2 (Dec 9 – 16) of the audit will be when the auditors go out to some of the houses, talk to staff and interview people we support across the region.

• At least two auditors will be involved in the stage 2 audit.– A Lead auditor– SUTE (Service User Technical Expert)

• Given the size and geographical spread of the organisation it may be possible that we would have two teams of auditors (4 people) for stage 2.

• During stage 2 of the audit staff files will be reviewed and they will want to interview staff.

• Approximately 5 staff files per organisation will be reviewed and a number of staff interviews.

• In the staff files they will be checking inductions, training, recruitment, police checks, supervision/performance reviews

• The number of Pws files to be reviewed and number of pws to be interviewed will be dependent on the number of DHS funded people we support.

• Based on information provided to HDAA last year this will be as follows:

Service Region No of sites visited

No of pws files to be reviewed

No of pws to be interviewed

HomeChoices SSA

Metro 5 7 4 min

LM 3 2 min

Gramp 6 3 min

Gippsland 7 4 min

HomeChoices Respite

Statewide 2 7 4 min

Vista Statewide ?? 29 15 min

iGain Gippsland 1 9 5 min

• Consent from pws will need to be obtained for auditors to review files and to interview them.

• Signed consents from both staff and pws will need to be provided at the commencement of the stage 2 audit.

• If on the day of the audit a pws who has previously provided support decides they no longer wish to participate that’s OK.

• You will need to commence informing pws of the upcoming audits.

• There is information on Daisy (Independent Monitoring) that can be provided to pws about the upcoming audits and the role of auditors.

• Reviewing of pws files, visiting them and interviewing them will be about ensuring they have goals and how we are meeting those goals. Auditors will be looking for evidence of outcomes. Outcome evidence can include:– Photos good news stories– files notes key worker reports– person service reports Tickets– newspaper articles participation in work– community activities education, learning– Transitioning to independent living– Medication/health assessments Behaviour Support plans

• Interviews with pws will cover information such as:– The information that was provided about the

organisation– How often plans are reviewed– Who’s involved in the planning exercise– What their goals are– What they know about our complaints system– How they would lodge a complaint– How they can provide feedback

• Interviews with staff will be to confirm how supervision is provided, training provided, where do they go for support, how they handle complaints, etc.

• At house visits for HomeChoices a tour should be provided of the house.

• They will speak to staff on duty, look at the information available at the house for staff (staff meetings minutes, OHS information, OHS site inspections, hazard reports, maintenance, risk assessments, where information is stored, daily communication dairy).

• If possible they will observe how support is provided and daily activities.

Pre Audit Preparation • List of current pws de-identified (KCS) by September 30• List of staff de-identified (employee number) provided to

me by September 30• Information about the audit process provided to people

we support/carers• Before stage 2 – signed consent forms (by December 9)

• An exit meeting will occur at the conclusion of the audit, when and where has not been confirmed.

• At the meeting they will inform us how we went and if there were any non conformances that we need to address

• An audit report will be provided within 4 weeks of the conclusion of the audit

• Non conformances will need to be addressed within a specified time period, this will be dependent on the non conformance.

• There will be areas of improvement that we need to address.

One DHS Standards• July 2012• Replaces OOHC and Disability Standards (LAC

requirements will remain)• Able to select auditors• Reports provided to DHS every three years• One Standards only address service delivery• Governance and overall service management will be

governed by standards such as ISO• OOHS and Disability audit will in future coincide.