CBS Connect – Autumn 2021

Community Based Support Allyson Warrington CEO

Here’s hoping you all had a wonderful Easter break and the opportunity to spend it with your loved ones. This newsletter is filled with information. It contains many topics that we thought you should know about to help you understand more broadly what is occurring in our sector that impacts on you, our clients, and also helpful information to guide you to those in our organisation who can assist you with your enquiries. Since we last wrote to you there has been developments with the rollout of the COVID vaccination. This news changes almost daily, so I’d encourage you to keep up to date via the Government’s website australia.gov.au/ covid19vaccines and to keep in contact with your GP.

Additionally, the Royal Commission into Aged Care has resulted in a significant number of recommendations being made for consideration by Government. These highlights are noted. It is our intention to work with Government to ensure clients receive top quality, safe and timely care. In an effort to increase our standard of service and response to client enquiries, we have introduced a digital phone system so your calls are directed immediately to the respective team or Coordinator. So, if you call us now and you know who you want, you can input their direct number, or alternatively you can select the team you wish to speak to. We continue to seek continuous improvement and introduce initiatives to operate more efficiently and provide the level of client service you would expect. And, as is also mentioned in the newsletter, we welcome feedback from you at any time. Until next time…

Our world is still in the middle of the Coronavirus pandemic. We continue to remain vigilant and ensure that our clients and staff are protected by undertaking continued hygiene procedures, asking questions and donning personal protective equipment where necessary. In Tasmania, the Government led by Premier Peter Gutwein, is working with the Australian Government to roll out the vaccine across the State. Only vaccines approved by the Therapeutic Goods Administration – the federal government agency which approves all drugs in Australia – are being administered. The vaccine is being rolled out in stages throughout Tasmania. Firstly, those at greatest risk of exposure or likely to experience serious illness will be vaccinated first, in phase 1A.

These include:

• Staff working in designated quarantine and border facilities.

• Frontline health care staff working in higher risk locations.

• Residents and staff of residential aged care and disability care facilities.

The staff of Community Based Support will be vaccinated in Phase 1B, as health care workers. This means that you can be assured that our staff will be safe for you, when they come to your homes and provide services to you. As this newsletter is written we are still awaiting the availability of vaccinations through various GP providers and clinics and staff will book in directly as and when they are able to receive their vaccinations. And if you yourself are aged 70 or over, you will receive the vaccine in this stage of the rollout. There are two more stages of the rollout. People aged between 50–69 years and other critical and high-risk workers are in Phase 2A and then Phase 2b – remaining Tasmanians aged 18 and over. We are committed to updating you all on each phase of the rollout when we are told about its implementation. What we will always ensure at Community Based Support is the safety for all our clients and our staff. In Tasmania, we know we are the safest place in Australia . But everyone must continue to follow the minimal rules that are in place, that is “check in” when you go into a venue, keep sanitising and washing your hands. It only takes seconds and will keep you and your family and friends safe if an outbreak should ever occur again.

It is normally about this time of year when we would be commencing our staff flu vaccinations and encouraging clients to have theirs. It is still very important this occurs and please consider the need for your flu vaccination at a time that is recommended to you by your GP or health practitioner. For CBS staff, with the priority rollout of the COVID vaccinations we are a little uncertain as to the timing for flu vaccinations for 2021.

Our staff will have the vaccine but it will be managed in line with their COVID vaccinations due to the period of time necessary between flu and COVID vaccinations and the doses of the COVID vaccine. We continue to follow public health advice in regards to vaccinations.

Royal Commissioners, the Honourable Tony Pagone QC and Lynelle Briggs AO presented the Final Report of the Royal Commission into Aged Care Quality and Safety to the Governor-General, His Excellency, General the Honourable David Hurley AC DSC (Retd) on 26 February 2021. It was tabled on 1 March 2021. Community Based Support, and the sector more broadly, support reforms to ensure quality, safe and timely support together with a system that protects older people. The report noted 148 recommendations that included: 

System Design and Governance

  • A new Act, centred on a universal entitlement for high quality and safe care to older people, based on need and not rationed.
  • An integrated system for long term support and care of older people combining CHSP, home care and residential aged care.
  • A System Governor to provide leadership, and an Inspector-General to investigate systemic issues.

Quality and Safety 

  • A plan to deliver high-quality care including standard-setting, graded assessments, and star rating.
  • Clear the prioritisation list in-home care by December 2021. • Increased access to medicine reviews.
  • A single comprehensive assessment by an independent assessor of providers, with entry into the system supported by care finders.

Aged Care Accommodation

  • Construction design principles for aged care accommodation, with a focus on small house design.

Aboriginal and Torres Strait Islander People 

  • Specific arrangements for Aboriginal and Torres Strait Islander people, with ATSI pathways and a new ATSI Commissioner.

Regional, Rural and Remote

  • Equitable access for regional, rural and remote communities to aged care services, with access to telehealth and specialists, and continuation of MPS services.

Better Access to Health Care 

  • Establish a senior dental benefits scheme.
  • A new primary health care model, and improved transition between aged care and health.

Younger People in Residential Aged Care 

  • Timetable for arrangements to ensure younger people do not enter or remain in residential aged care by 2022-25 progressively.

Aged Care Workforce

  • A workforce strategy to professionalise the workforce, a National Registration scheme for personal care workers, and a minimum Certificate III qualification for personal care workers.
  • Collaboration between Unions, Government and providers to vary sector wages, with remuneration to reflect work value.
  • The Pricing Authority should take into account the need to attract staff and remuneration levels.
  • A minimum quality and safety standard for staff time in residential aged care, including appropriate skills mix and daily minimum staff time for registered nurses, enrolled nurses and personal care workers for each resident, and at least one registered nurse on-site at all times.
  • Reporting of staffing hours.

Governance

  • Improved governance arrangements around complaints, serious incident reporting, and new prudential requirements.
  • Wider enforcement powers to the quality regulator.

Funding & Finance 

  • An independent Pricing Authority to determine the cost of high-quality care.

Amendments to indexing arrangements for both Residential aged care and home care.

  • A $10 fee increase per resident per day of basic daily fee in residential care.
  • In-home care maximum funding to equal residential care.
  • Continuing the 30% viability supplement in residential care.
  • Address transparency in home care, i.e., standardised statements.
  • In Home care, individuated budgets or a case-mix approach; in Residential Care a case-mix approach.

Separate Recommendations

 In an unusual development, Commissioners Pagone and Briggs offered separate recommendations around some key areas. These included:

Oversight of the sector.

Commissioner Pagone recommended an independent Commission, while Commissioner Briggs recommended a revamped Department of Health and Ageing.

A new aged care financing system.

The Commissioners agreed on the introduction of a levy on taxable income to finance aged care, but Commissioner Pagone suggested it should be a hypothecated 1% levy of taxable personal income, and Commissioner Briggs recommended an ongoing, non-hypothecated levy.

A new primary care model to improve access. 

Commissioner Pagone recommended a trial program for six to ten years starting from 1 January 2024, while Commissioner Briggs said the Government should simply implement it by 2024. It is important to note these recommendations have not been adopted by Government. The Government is due to consider and respond in time for the announcement of the May Budget. As indicated, CBS will support Government’s determination when it is available.

Here at CBS we are continually looking for ways to increase client and employee satisfaction. Currently we find ourselves focussing on what is arguably the most important issue, communication.

As you would be aware, communication is a two way street and when it is working well, things work well. To assist us in achieving and maintaining a high standard of communication we ask that any and all communication and feedback be directed to one of our Coordinators working at our offices between 9am – 5pm Monday – Friday, rather than support workers or field staff.

Any alternative may result in vital information being lost. Our staff are also placed at risk if you request a change we are unaware of, as we may not know when and where they are working, nor have the appropriate supports in place. Any changes to support times or days are also to be directed through the Coordinators. This way we can make sure you have the best opportunity to have your request met and it avoids problems with duplicate rostering of workers. Our Coordinators look forward to hearing from you.

Allyson Warrington brings attention to the needs of Tasmanians

 Our CEO Allyson Warrington was invited to participate in the State of the Disability Sector Report 2020 to represent Tasmania and share some of her thoughts on the work of CBS and the year that was.

The report was produced and distributed by National Disability Services, Australia’s peak industry body for non-government disability service organisations. Allyson provides a great overview of our work, the last year and some of her hopes for the future of the sector.

Proud of her staff and the way the organisation navigated the challenges it faced in 2020, Allyson’s optimism and commitment to the sector is evident. To read Allyson’s contribution and the report go to:

https://www.nds.org.au/images/State_of_the_ Disability_Sector_Reports/SoTDS_2020.pdf 

My Aged Care is the Australian Government’s program designed to help us as we age. If you think it’s time to get a little help in your day to day life or are thinking about moving into an aged care home, start by exploring the My Aged Care www. myagedcare.gov.au/ If you don’t have internet access or prefer to speak to someone directly, call 1800 200 422 and most of your questions can be answered immediately.

It can be a little daunting starting out but there is a lot of information available and help along the way.

There are four main steps:

Step 1 – Learn about the different types of care available and what might best suit you. 

Step 2 – Get assessed – this is a simple two part process, first over the phone or online followed by a face-to-face assessment at your home. 

Step 3 – There’s a lot of helpful information available and you can find a provider that’s right for you. 

Step 4 – If your needs or situation changes you can manage and change your services along the way. 

If you’ve already been assessed and are receiving services, CBS can help you find new services or apply for extra funding. CBS are here to help too.

If you are between the ages of seven and 64 and living with a disability, the NDIS may be able to help you. Everything you need to know about NDIS can be found at ndis.gov.au or by calling 1800 800 110. Not everyone is eligible for the NDIS so your first step is to see if you are eligible by answering five simple questions found www.ndis.gov.au/applyingaccess- ndis/am-i-eligible.

If you think you meet the criteria you can either:

  • Call 1800 800 110 and ask to make a Verbal Access Request
  • Complete and submit the Access Request Form www.ndis.gov.au/how-apply-ndis/what-accessrequest– form and submit it by email
  • Contact a Local Area Coordinator near you With a completed Access Request Form, and supporting information (details about your age, where you live and disability or need for early intervention) you can apply for the NDIS by emailing NAT@ndis.gov.au or mailing your information to GPO Box 700, Canberra ACT 2601.

Once you’re granted access to the NDIS you will be contacted to begin your planning conversation. This is a very important step because it’s up to you how you want to manage your NDIS plan.

There are three ways to manage your plan – self-management, plan management or NDIA managed.

You can choose one option or a combination of the three. As your needs change, you can always change your plan. If you have an NDIS Plan or are an existing CBS client, CBS is here to help you. Remember, you can review your plan or change the way you manage your plan anytime.

26TEN is a fantastic initiative to help improve adult literacy across our State. Almost half of Tasmanian adults do not have the literacy and numeracy skills they need for life in our ever changing, technologically-rich world.

Supported by the Tasmanian Government, 26TEN is aiming for every adult to have the reading, writing, numeracy and communications skills they need. Everyone is invited to get involved – individuals, businesses, community and not-for-profit groups and governments. So far 1,015 member supporters and organisations have responded positively to this invitation and joined 26TEN.

A further 1,333 volunteers have been trained to be adult literacy tutors. Their job is to help tutor Tasmanians in reading, writing and maths in a supportive learning environment. You too are invited to get involved. If you, or someone you know would like to improve your literacy and/or numeracy skills, the 26TEN network is ready and available to help.

If you’d like to be a tutor, a supporter or nominate an organisation to be a supporter, 26TEN want to hear from you too.

Join today!

 Online: 26ten.tas.gov.au

Phone: 1300 00 2610

Email: email@26ten.tas.gov.au

Facebook: www.facebook.com/26TENTasmania

If you receive a Department of Veterans’ Affairs payment, you can nominate another person or organisation to deal with Centrelink on your behalf.

The person or organisation you authorise is known as the nominee. Your nominee can:

  • complete and sign Aged Care forms;
  • ask questions about your Aged Care costs;
  • update your income and assets;
  • receive copies of your Aged Care letters.

If your nominee holds a Power of Attorney, or similar, letters from Centrelink will be sent to them instead of you. To nominate another person or organisation you must complete the Department of Veterans’ Affairs customer form (AC019).

The form can be found here: https://www.servicesaustralia.gov.au/individuals/forms/ac019 

This form will apply to you if:

  • you receive a Department of Veterans’ Affairs payment;
  • you’re in residential aged care;
  • you have a Home Care Package.

The PDF form can be downloaded from https://www. servicesaustralia.gov.au/individuals/forms/ac019 and is fillable, which means you can type your answers directly into the form on your device. Or you may prefer to print it and complete it by hand. If you are printing your information, please use black or blue pen and BLOCK LETTERS

There are four parts to the form:

  • Part A and Part C are to be completed by you
  • Part B and Part D are to be completed by the person or organisation you wish to be your nominee.

Need help?

For more information: go to www.servicesaustralia.gov.au/agedcare; call 1800 195 206. To speak to Centrelink in your language, call 1800 195 206 and an interpreter will be organised for you. Documents can also be translated for you, free of charge.

If you have a hearing or speech impairment, you can contact the TTY service Freecall™ 1800 810 586. If you have a disability or impairment and use assistive technology and can’t access this form go to https://www.servicesaustralia.gov.au/individuals/forms/ac019 and scroll towards the end of the page. Here you will find links to self service, or request someone to deal with us on your behalf, or contact us. Centrelink can help you access, complete and submit the form.

From 1st July 2021 the Continuity of Support (CoS) program will be replaced by the Disability Support for Older Australians program (DSOA).

All CBS clients receiving support under CoS will transition through to the new program.

Why is the CoS program changing to DSOA?

 A review of the CoS program identified a need to update the program so it is more in line with the National Disability Insurance Scheme (NDIS) service delivery and pricing rules. Under the DSOA program clients will receive better access to services as their supports will be overseen by a single DSOA coordinator, access to independent assessments to make sure you receive services which suit your needs, and greater choice and control over the supports you receive.

Will my current supports change when the program transfers to DSOA?

 Your current supports will not change. You will continue to receive the same level of funding or more under the new DSOA program. You can access more supports as your needs change.

Who is my DSOA coordinator?

 Community Based Support have dedicated DSOA coordinators allocated to each client. Coordinators will be contacting each CoS client individually to confirm that the client is happy for CBS to continue to coordinate their funding under the new DSOA program and to discuss the DSOA program in more detail.

We are pleased to introduce you to Bruce, our Cook for the Social Hub and Meal Delivery Program.

Bruce has taken on this new role with enthusiasm and has created an exciting new menu changing seasonally, the menu has a selection of five mains and three desserts. The meals are great to have in the freezer for the days you may have a late appointment or when you are looking for a nutritious meal without standing in the kitchen for hours.

Some of the tasty delights include slow cooked lamb shanks and vegetables, chicken, corn and noodle chowder and peach upside-down cake with custard.

For HACC and CHSP Clients these meals are available for $5.00 each delivered to your door giving you the chance to interact with our lovely support staff without leaving your home. For all other clients please contact your Coordinator directly to discuss the options.

As the days get shorter staying active is the key to keeping your independence. Our Ageing Backwards exercises class runs five times per week and is relevant to your age and ability just for $5.00 per class for CHSP and HACC clients. For all other clients please contact your Co-Ordinator directly to discuss the options. Ageing Backwards’ ethos towards exercise is to build strength in our daily movement patterns.

All whilst having fun and making exercise an easy part of our daily lives. Please don’t think you are not fit enough to join in. Everyone is welcome and will walk away with a feeling of accomplishment.

Currently we are offering the opportunity to try the class for free before signing up. 

Call our Business Development team on 6208 6676 to access your free trial for the Ageing Backwards Program.

Our Social Support Hubs have been buzzing with activities and excitement as we move into the cooler months. Our clients have been trying new things, learning skills and engaging with community activities. We have made the most of the warmer weather by going sailing, fruit picking, shopping, bus tours, picnics and enjoying our beautiful community.

The Autumn program has just been released providing you with three months of activities. Some of the activities include luncheons, tour of the Theatre Royal, high teas, furniture restoration, lunch and tour of the Police Academy and lots of art and craft activities to keep your fingers moving!

A sample of the program is below, you can book in to activities or come on regular days – the choice is yours! We operate Monday to Friday between 10am – 3pm and have availability for you to join our program of activities.

For more information please contact Leah on 6208 6601.

The National Disability Insurance Scheme (NDIS) provides funding for people with a disability to access supports and services in the community. The funding is to be used to work towards achieving goals identified by the person with a disability.

How does Community Based Support assist me with my NDIS Funding? 

Community Based Support (CBS) is a registered National Disability Insurance Scheme provider. This means that you can choose CBS to provide you with support services once you have successfully applied for NDIS funding and have your individual NDIS plan.

Community Based Support provides the following support services to NDIS clients:

  • Assistance with Self-Care Activities
  • Travel/Transport
  • Assistance with Household Tasks
  • Assistance with Personal Domestic Activities
  • Home Modification
  • Access Community, Social and Rec Activities
  • Group/Centre Activities
  • Therapy Assistance
  • Individual skills development and training
  • Individual social skills development
  • Life transition, planning (Mentoring, peer support and individual skill development)

If you would like to speak to our team about your current support services or about accessing additional supports through your NDIS Plan please contact your Disability Coordinator.

Changes to National Disability Insurance Scheme Access and Plan Review Processes 

The National Disability Insurance Agency (NDIA) have recently announced some upcoming changes to their access and plan review processes which will affect all new and current NDIS participants. By mid-year 2021 the NDIA will be introducing Independent Assessments for new participants requesting access to NDIS funding. From late 2021 Independent Assessments will roll out to all current NDIS participants.

What is an Independent Assessment? 

An independent assessment is an assessment of functional capacity including environmental and individual circumstances (e.g how well you are able to function at home and in the community). They are undertaken by qualified healthcare professionals called Independent assessors. An Independent Assessment determines eligibility, support access, and funding decisions both for potential new participants when applying for the NDIS and for current participants as part of the normal plan review process.

Independent Assessments are being introduced in order to;

  • Develop a more consistent and fairer approach to determining NDIS eligibility
  • Have better understanding of an individual’s functional capacity and environment, to support fair access and funding decisions
  • Change the way planning occurs for personalised budgets and support participants to have greater flexibility in using their funding
  • Remove the need for participants to provide supporting evidence of their disability

How will this affect me?

 From late 2021 all current NDIS participants will be required to undertake an independent assessment at the point of review of your NDIS Plan.

The assessment will take around 3 hours and you can choose to do the assessment in the way that best suits you, like on the same day, or over a number of days. During the assessment the assessor will ask you questions about your life and what matters to you and ask to see how you approach some everyday tasks. They will work through some standardised assessment tools with you, based on your age or disability.

The results of your independent assessment will be sent to the NDIS when completed, and your planner or Local Area Coordinator (LAC) will talk to you about your results in your planning meeting. Your independent assessment will be used to identify possible supports and your NDIS budget.

Is there a cost involved?

 Assessments are free for NDIS participants and fully funded by the NDIA. Community Based Support will keep you updated as rollout occurs, for more information please visit https://www.ndis.gov.au/participants/independentassessments

Changes to support cancellation timeframes 

On 21st January 2021 Community Based Support implemented a change to the required timeframes given by clients when cancelling their support services. These changes were made to bring us in line with the current National Disability Insurance Scheme Price Guide.

Community Based Support now require more than two (2) clear business days’ notice for cancellations of support. If a support is cancelled with less than two (2) business days’ notice CBS will claim for the support from a client’s plan.

In addition, for all those supports which exceed 8 hours of continuous duration, more than five (5) business days’ notice will be required for a cancellation. Any cancellations given with less than five (5) business days’ notice may be claimed from a client’s plan.

This change is only for clients receiving support under the National Disability Insurance Scheme.

If you have any questions regarding this change, please contact your Disability Coordinator to discuss.

Your Community Based Support Disability Coordinators are:

Rowena Tye – 6208 6645 

Nicky Le Fevre – 6208 6640 

Corinne Pettit – 6208 6668 

Chantal Wright – 6208 6623

At Community Based Support we are committed to providing the very best service to everyone. Whether the service is delivered in your home or in the community, we want to make sure that you are getting the service you need in a way that works best for you.

In order for us to achieve our goal of delivering exceptional service to you, we need you to work with us to let us know how we are getting it right, as well as when we get it wrong.

Community Based Support have a number of ways that you can provide us with feedback, including our feedback brochure/form;

via email at feedback@cbsaust.org.au;

by telephoning 1300 227 827;

via letter address to CBS at 24 Sunderland Street Moonah 7009;

or by passing your feedback on via your Coordinator.

From time to time, you may be invited to participate in one of our formal satisfaction/ feedback surveys. These surveys provide us with valuable feedback so we can monitor overall satisfaction across a number of key areas.

We welcome all forms of feedback that you may wish to pass on, including:

  • Compliments
  • Recognition of good service
  • A concern
  • Complaint
  • Suggestion

If you would like a copy of our feedback brochure or our complaints information sent to you, please contact us on feedback

In this article we outline Home Care Packages and Commonwealth Home Support Programme information.

The Commonwealth Home Support Programme (CHSP) provides entry-level support for older people who need some assistance to stay at home, whereas Home Care Packages (HCP) are designed for those with more complex care needs that go beyond what the CHSP can provide.

Home Care Packages currently offer 4 distinct levels;

*please note, the government contribution increases each year. These figures are rounded. 

CHSP services delivered to a client should be lower than the subsidised cost of a Level 1 HCP (less than $8,000 per annum or 2 hours per week).

CHSP providers may deliver higher levels of services on a short-term basis where clear improvements in function or capacity can be made, or further decline avoided. If the support is ongoing, CHSP recipients will need to transition to an alternate funding option such as a HCP.

Community Based Support can assist with this application process. The HCP programme is person centred and allows greater flexibility of the services and equipment it will fund. For those of you receiving HCP supports, we encourage you to make yourself familiar with the Department of Health’s, Home Care Package Program manual for consumers.

This manual outlines a variety of important facts about the program such as;

  • Inclusions
  • Exclusions

This is very useful to assist decision making when determining what can or cannot be purchased with package funds. Our team of Coordinators are well placed to support you to navigate the manual and assist you make the most of your package.

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