3.5 List of care and services
The range of care and services available at an level of Home Care Packages includes the following:
A. Care Services |
Care can include: |
Personal Services |
Personal assistance, including individual attention, individual supervision and physical assistance, with:
- bathing, showering including providing shower chairs if necessary and using dressing aids
- transfer (including in and out of bed)
|
Nutrition, hydration, meal preparation and diet |
Includes:
- assistance with preparing meals
- assistance with special diet for health, religious, cultural or other reasons
- assistance with using eating utensils and eating aids and assistance with actual feeding if necessary
- providing enteral feeding formula and equipment
|
Management of skin integrity |
Includes:
- providing bandages, dressings, and skin emollients
|
Continence management |
Includes:
- assessment for and, if required, providing disposable pads and absorbent aids, commode chairs, bedpans and urinals, catheter and urinary drainage appliances and enemas
- assistance in using continence aids and appliances and managing continence
|
Mobility and dexterity |
Includes:
- providing crutches, quadruped walkers, walking frames, walking sticks and wheelchairs
- providing mechanical devices for lifting, bed rails, slide sheets, sheepskins, tri-pillows, and pressure relieving mattresses
- assistance in using the above aids
|
B. Support services |
Care can include: |
Support services |
Includes:
- personal laundry services, including laundering of the consumer’s clothing and bedding that can be machine-washed, and ironing
- arranging for dry-cleaning of the consumer’s clothing and bedding that cannot be machine washed
- rehabilitative support, or helping to access rehabilitative support, to meet a professionally determined therapeutic need
- emotional support including on-going support in adjusting to a lifestyle involving increased dependency and assistance for the consumer and carer if appropriate
- support for consumers with cognitive impairment, including individual therapy, activities and access to specific programmes designed to prevent or manage a particular condition or behaviour, enhance quality of life and provide on-going support
- providing 24-hour on-call access to emergency assistance including access to an emergeny call system if the consumer is assessed as requiring it
- transport and personal assistance to help the consumer shop, visit health practitioners or attend social activities
- home maintenance, reasonably required to maintain the home and garden in a condition of functional safety and provide an adequate level of security
- modifications to the home, such as easy access taps, shower hose or bath rails
- assisting the consumer, and the homeowner if the home owner is not consumer, to access technical advice on major home modifications
- advising the consumer on areas of concern in their home that pose safety risks and ways to mitigate the risks
- arranging social activities and providing or coordinating transport to social functions, entertainment activities and other out-of-home services
- assistance to access support services to maintain personal affairs
|
Leisure, interests and activities |
Includes:
- encouragement to take part in social and community activities that promote and protect the consumer’s lifestyle, interests and well-bring
|
C. Clinical services |
Can include: |
Clinical care |
Includes:
- nursing, allied health and therapy services such as speech therapy, podiatry, occupational or physiotherapy services
- other clinical services such as hearing and vision services
|
Access to other health and related services |
Includes:
- referral to health practitioners or other services providers
|
3.6 Excluded items
The following services or items are outside the scope of the Home Care Packages Programmer and must not be included in a package (at any of the four levels of home care).
Exclude items |
Items: |
Excluded items |
- use of the package funds as a source of general income of the consumer
- purchase of food, except as part of enteral feeding requirements*
- payment for permanent accommodation, including assistance with home purchase, mortgage payments or rent
- payment of fees or charges for other types of care funded or jointly funded by the Australian Government
- home modifications or capital items that are not related to the consumer’s care needs
- travel and accommodation for holidays
- cost of entertainment activities, such as club memberships and tickets to sporting events
- payment for services and items covered by the Medicare Benefits Schedule or the Pharmaceutical Benefits Scheme
|
Clarification
*Meals – The government subsidy for a Home Care Package can be used to pay for the preparation and delivery of meals. This could be through the consumer’s home care provider, a HACC service provider (for example, under a sub-contracting arrangement with the home care provider) or by a private service provider. However, the consumer is expected to cover, or to make a contribution towards, the cost of food. The amount of the contribution or fee may be negotiated between the home care provider, the meals service provider and the consumer.