Consumer directed care (CDC) in home care packages
This information was uploaded on 2 May 2015
Part 2: Information for home care package providers
This is part 2 of a series of fact sheets on the implementation of CDC for home care providers.
What does CDC mean for clients from diverse groups?
The Australian Government recognises that many older people seeking access to aged care services are from diverse backgrounds and that they may have different needs and preferences.
One of the benefits of CDC is that assessed care needs are delivered based on a consumer’s preferences. The CDC model of care is especially beneficial for people with special needs and those from diverse groups as it places them at the very centre of the health and wellbeing process and gives them a stronger voice when working with their home care provider.
Examples of diverse groups include lesbian, gay, bisexual, transgender and intersex (LGBTI) people and people from culturally and linguistically diverse backgrounds.
Under the CDC principles, providers need to be respectful of the needs of diverse groups when delivering care and support. They need to ensure that they treat diverse groups with dignity and support choices that consumers make when choosing their care and services, such as wanting to meet with LGBTI social groups or requiring translation services.
Please read the below case studies to see CDC in action.
Case Study - Supporting Diversity
Emily is 86 years old and is currently receiving a Level 1 home care package. Since her female partner, Joan, passed away last year, Emily has become frailer and more isolated. Emily’s friend noticed a change in Emily and expressed her concern. Emily admitted that, since Joan passed away, she hadn’t felt supported by her home care provider and was concerned with their lack of understanding and care.
Emily’s friend suggested that she contact the Australian Government’s Aged Care Advocacy service to discuss her concerns. The Advocacy service was able to work through the situation with Emily and her provider and suggest a way forward. The provider researched how to best meet Emily’s needs by looking at the resources available on the Home Care Today website, which included where they were able to get LGBTI awareness training for their staff. Emily’s provider also got into contact with a state based LGBTI centre for advice on local activities that could be used by Emily to reconnect with her community.
During their discussions, Emily told her case manager that she used to go swimming but had stopped going when Joan passed away. Her case manager advised there was a local swimming group called the Lavender Ladies that Emily may be interested in joining and recommended that, if she would like to go swimming again, she could add this to her home care package.
Having her home care package delivered on CDC basis enabled Emily to allay some of her concerns as she is able to request specific care workers that she trusts. Emily knows that, if she becomes uncomfortable with any of the care workers, her provider will listen to her concerns and arrange new care workers.
Emily is very happy with the care and service she receives and loves spending time with the Lavender Ladies. Since she started swimming with the group, she has become stronger and has reconnected with her community.
Case Study - Supporting Consumers from Culturally and Linguistically Diverse Backgrounds
Aberto and his wife, Luciana, have always been involved in their local community and are active members of the Italian Senior Citizens’ Club. Following some health issues, Aberto needed more help at home than his family was able to provide. He was assessed by an ACAT as eligible for a Level 4 home care package and received a package delivered on a CDC basis one year ago.
Aberto and his case manager, Marta, discussed what he felt he needed to regain his health. Aberto and his family were specific about what he needed. They requested assistance with showering and dressing, as well as a physiotherapy programme to regain his strength.
While setting out Aberto’s care plan and individualised budget, they agreed that his primary need was assistance with showering and dressing. Although the remaining package funds didn’t fully cover the physiotherapy sessions, Aberto decided he was happy to pay the additional costs.
Over a six month period, Aberto recovered his strength and no longer required the services he was receiving. Having noticed that his needs had changed, Marta organised a reassessment.
During the reassessment, Aberto identified that he would now like assistance with his gardening and cleaning around the house. Aberto’s care plan was then updated to reflect these changes.
The co-production of Aberto’s care plan enabled him to meet his goals and gave him a sense of empowerment. He knew he could communicate with his case manager and that they would work together to address his needs.
Translating and Interpreting Service (TIS National)
TIS can be used to assist consumers with understanding the Home Care Packages Programme, including their home care agreement, care plan, individualised budget and monthly statements, at no cost to them.When accessing TIS National, providers will need to quote their unique client code. If a provider is unsure of their client code, they can contact TIS National directly on 1300 655 820.
Home Care Today
The Home Care Today website has some useful resources for implementing CDC in your home care packages, including guidance and links to resources on the Sensitivity to Diversity page that will assist your organisation in understanding sensitivities associated these with diverse groups.
The website has been developed by COTA Australia and is planned in partnership with aged care peak bodies Aged & Community Services Australia and Leading Age Services Australia.
Home Care Today Newsletter
One way to keep up to date on the implementation of CDC is to receive the Home Care Today newsletter, which provides a range of CDC resources.
More information about the Home Care Packages Programme is available in the Home Care Packages Programme Guidelines on the Department of Social Services website, and the Guide to Aged Care Law.
More information for consumers is available by:
- calling the national contact centre on 1800 200 422 or
- visiting the My Aged Care website