Accessibility
The purpose of this policy & procedure is that each participant has access to support that promote, uphold and respect their legal and human rights. The provision of support promotes, upholds, and respects individual rights to freedom of expression, self-determination and decision-making.
| WORD/TERM | DEFINITION |
|---|---|
| Worker | |
| Person-Centred Approach |
Each participant’s legal and human rights are understood and incorporated into everyday practice.
Communication with each participant, the provision of support that is responsive to their needs and is provided in the language, mode of communication and terms that the participant is most likely to understand. This is undertaken via Participant Handbook which was designed so it is easy to read and understand. An interpreter/translator is provided upon request.
Each participant is supported to engage with their family, friends and chosen community as directed by the participant in Form27. Initial Assessment and Support Plan, Form22. Service Agreement and Participant Handbook.
Distil Management must ensure that the following practices are taken to support the participant and their family and/or carer:
Distil Management ensures that participant’s health and well-being is important for all staff and workers, therefore steps are taken to support this approach by reviewing and understanding Worker Handbook and undergoing an induction using Form08. Induction Checklist.
Distil Management ensure that staff and workers empower participants skills by knowing their goals and working towards those goals. These goals can be reviewed and updated during support plan review.
The above items which are related to the way that a participant and/or participants have been treated by the worker will be reviewed and assessed during the worker’s performance review via Form10. Worker Performance Assessment.
The aim of this policy & procedure is that each participant has access to support that respect their culture, diversity, values and beliefs.
| WORD/TERM | DEFINITION |
|---|---|
| Diversity |
The term diversity refers to staff and workers and participant’s differences in the following areas but not limited to: |
| Culturally and Linguistically Diverse (CALD) | |
| LGBTQI+ |
To provide a diverse and inclusive service to participants and their families Distil Management promotes the following:
At the direction of the participant, the culture, diversity, values and beliefs of that participant are identified and sensitively responded to.
Each participant’s right to practice their culture, values and beliefs while accessing support is supported. At Distil Management, during the initial assessment participants are encouraged to talk about their culture, diversity, values and beliefs by using Form20. Participant Intake Form.
Distil Management ‘s participants whose English is not their primary language will be provided with interpreter/translator support (if required) or in case of a meeting, these people would be able to bring a member of their family who speaks English.
Distil Management will:
The aim of this policy & procedure is that each participant accesses supports that respect and protect their dignity and right to privacy.
| WORD/TERM | DEFINITION |
|---|---|
| Worker | |
| Personal Information |
Distil Management is committed to providing quality services and respecting participants’ rights. Participants’ right to privacy and confidentiality will be recognized, respected and protected in all aspects.
At Distil Management, all information will be handled based on the NDIS Quality and Safeguarding Framework.
Consistent processes and practices are in place that respects and protects the personal privacy and confidentiality of each participant.
Distil Management ensures that all confidential documents are handled safely in our operations.
Distil Management will not disclose any confidential information to any persons who are not employed by Distil Management Services or participant unless consent has been obtained.
Distil Management will not take any interest in the review of confidential and sensitive documents of the company.
Distil Management is committed to maintaining the confidentiality of medical results
Distil Management will not disclose, copy, release, sell, alter, or destroy any confidential information, either electronic or paper-based unless there is management approval.
Distil Management is committed to protecting the privacy of participants and workers.
All workers will complete Form19. Privacy & Confidentiality Agreement to ensure the confidentiality requirements are understood and adhered to.
Worker’s responsibilities are as below:
All inquiries or complaints about privacy and confidentiality should be directed to the Managing Director and Form02. Complaint Report Form to be completed.
In case Distil Management identifies that there is a breach of information or unauthorised access to the information of participants, will take measures to reduce the chance of harm to people. In these cases, the Australian Information Commissioner might be involved.
It is the participant’s right to choose if they want to be involved in an NDIS audit.
Each participant understands and agrees to what personal information will be collected and why, including recorded material in audio and/or visual format through Participant Handbook, Form20. Participant Intake, and Form27. Initial Assessment and Support Plan.
The documents will be handled in a way that:
No sale or payment will be tolerated by any member of Distil Management for personal information disclosure.
Not all information will be collected unless:
The following criteria apply to any personal information disclosed to a third party:
The aim of this policy & procedure is that each participant is supported by the provider to make informed choices, exercise control and maximise their independence relating to the supports provided.
| WORD/TERM | DEFINITION |
|---|---|
| Worker | |
| Consent |
Distil Management is committed to our participants having control over the services provided to them and the decisions that might affect their life.
Distil Management is committed to making sure that participants are satisfied with the services received
Distil Management will find out about the participant’s preferences and take appropriate measures to provide that participant with those preferred services.
Distil Management is committed to providing services to participants that are aligned with their needs and preferences.
Active decision-making and individual choice are supported for each participant including the timely provision of information using the language, mode of communication and delivered in a manner that the participant is most likely to understand.
Each participant’s right to the dignity of risk in decision-making is supported. When needed, each participant is supported to make informed choices about the benefits and risks of the options under consideration.
It is the participants choice if they wish to undertake activities that may cause risk to themselves, even though they have been advised of the danger of such activities. in this case, management shall ask the participant to fill and sign form65. risk indemnity.
Each participant’s autonomy is respected, including their right to intimacy and sexual expression.
Each participant has sufficient time to consider, review and seek the advice of their options, at any stage of support provision, including assessment, planning, provision, review and exit.
Each participant’s right to access an advocate (including an independent advocate) of their choice is supported, as it is their right to have the advocate present.
It is everyone’s right to choose their own personal, gender, sexual, cultural, and religious identity. It applies to people with disability too and they can make their decision regardless of their situation.
Participants have the right to make their own decisions, to be free, live the life they choose and have the same rights and freedoms as any other member of the community.
Participants and their carer will be advised by Distil Management about other services or agencies either in the organisation or outside the organisation to be able to make informed decisions.
If the participant is assessed as not capable of making his or her decision, a substitute decision-maker will be required and Distil Management will support them either formally or informally.
In the case that a participant is assessed as not being capable of decision making, different people would be able to be nominated as a substitute by their priority as below:
New participants will be consulted about their right to use advocates via the Participant Handbook.
Distil Management will consult new participants about the roles of advocates and how to get an advocate.
It is a participant’s right to choose their advocates, change their advocates or withdraw their advocate’s authority
Distil Management participant’s decision making, and service planning will be coordinated with the participant’s advocate
Any assistance by an advocate should be registered and documented
If a participant doesn’t have anyone to accept their advocacy, Distil Management will introduce someone as an advocate.
Advocacy is the act of helping a vulnerable group of people to be heard in a decision that may affect their life.
The participant can nominate an advocate if they need to via Form13. Advocate Nomination Form.
There are different types of advocacies as follows:
Participant’s rights are as follows:
Distil Management’s responsibilities for participant consent are as follows:
Any personal information could be disclosed without consent only if there is one of the following:
The purpose of this policy & procedures is that each participant accesses supports free from violence, abuse, neglect, or exploitation. People should always feel safe regardless of their gender, disability, age and sexual orientation.
| WORD/TERM | DEFINITION |
|---|---|
| Abuse |
Abuse has different types including: |
| Exploitation |
Exploitation is referred to unfair use of someone’s asset and/or fund to deprive them of the use and possession of those funds and assets. |
| Neglect |
Neglect refers to the situation that the initial needs of someone are not met. There are different types of neglect as follows: |
It is the Distil Management’s commitment to ensure that everyone feels safe, treated fairly and the organisation is free of abuse, exploitation, and neglect.
Participants with a lack of communication should be well supported to detect and prevent abuse.
The Managing Director deals with the abuse, exploitation, and neglect reports seriously and confidentially and takes the best measures to mitigate the issue and take actions accordingly.
Incident Management Policy and Procedure are established to investigate and report the abuse, exploitation, and neglect related issues.
Training is required for everyone in Distil Management about all policies and procedures and relevant rules, regulations, and guidelines to recognize, prevent and minimise abuse, exploitation, and neglect through the induction system.
One trained Manager should be appointed to deal with any abuse related issues.
Everyone has a responsibility about abuse, exploiting and neglect as follows:
Following measures could be taken for responding to abuse, exploitation, and neglect:
when handling cases involving allegations where there is a victim and a potential perpetrator, it is crucial to prioritize the well-being and support of both parties while the allegations are being validated.
Distil Management ensures that everyone in the organisation including workers and participants are working in a workplace free of bullying, harassment, and discrimination. In this policy & procedure, the standards for having a better workplace for both workers and participants with a positive environment will be described.
| WORD/TERM | DEFINITION |
|---|---|
| Discrimination | |
| Sexual Harassment | |
| Bullying: |
Distil Management is committed to promoting an environment free from bullying, harassment and discrimination for all employees and participant
Distil Management is committed to implementing training and awareness-raising strategies to ensure that all workers and staff are aware of their rights and responsibilities regarding bullying, harassment and discrimination
Distil Management is committed to complying with all relevant legislation and industry standards
All forms of discrimination, harassment and bullying by or toward workers, the participant is considered unacceptable and will not be tolerated under any circumstances
Everyone has the same right and responsibilities relating to sexual harassment
Any discrimination, bullying, harassment and/or discrimination should be discussed with the Managing Director or by submitting an incident through the Incident Management Policy and Procedure.
Victimization includes threatening any of who has made a complaint or helped another person to make complaints including the ones who may be involved in the investigation process is subject to discrimination, harassment and/or bullying.
Breach of this policy & procedure in any form may lead to termination of employment.
Sexual harassment can be any of the following activities:
Distil Management has zero tolerance for sexual harassment, meaning that just one attempt is enough
At Distil Management, in the workplace or between colleagues and participants at work or outside the workplace, everyone is covered against sexual harassment.
Everyone should be treated with respect in Distil Management.
Bullying can happen in various types of behaviour including:
Bullying is against Work Health and Safety Laws. There are different forms of bullying including face to face, on social media, in emails, on the phone and unfair work activities.
Discrimination can happen either directly or indirectly. Direct discrimination happens when a person is treated more unfair than other people in a similar situation while indirect discrimination happens when a person is being disadvantaged by imposing a practice against a lawful characteristic.
Lawful characteristics are as follows:
Treating a person unfair because they have lawful characteristics that you don’t like, is against the law and could be a form of discrimination.
Everyone should be recruited based on merits regardless of their characteristics. For example, they should be recruited based on their skills and abilities.
Asking personal questions about their ethnicity, sexual orientation, disability or else, is against the law unless it is a requirement of the position.
Any discrimination, bullying, harassment and discrimination should be discussed with the Managing Director or by submitting an incident through the Incident Management Policy and Procedure.
Breach of this policy & procedure in any form may lead to termination of employment.
Victimization includes threatening any of who has made a complaint or helped another person to make complaints including the ones who may be involved in the investigation process is subject to discrimination, harassment and/or bullying.
Preventive responsibilities of Distil Management team against bullying, harassment and discrimination are as follows:
Preventive responsibilities of Distil Management workers against bullying, harassment and discrimination are as follows:
It is staff and workers’ right to:
The aim of this policy & procedure is that each participant’s support is overseen by robust governance and operational management systems relevant to the size, and scale of Distil Management and the scope and complexity of supports delivered.
| WORD/TERM | DEFINITION |
|---|---|
| Subcontractor | |
| Governance |
An effective system is in place for Distil Management to manage and support the business accountability, effectiveness and supervision through Internal Audit, Management Review Meeting, and participant feedback system, which ensures that:
Distil Management is managed by the Managing Director, who has assigned a management team.
The Management Team will ensure that the objectives and targets of the organisation are defined.
It is the management team’s responsibility to ensure that business operations are aligned with the objectives and targets using Form05. Business Plan.
A Management Review Meeting will be held by the management team to ensure that a high quality of services will be provided by Distil Management to the participants, and there is an active communication channel in place
The responsibilities of the Managing Director are:
Staff and worker training remain the responsibility of the management team.
Any issues related to the finance, IT and quality of service will be provided to the management team by all staff and workers, including customer complaints.
In the management team meeting, stakeholders will be engaged if required to improve the service outcome. Stakeholders include participant, their families and carers, advocates, workers, service providers and government representatives.
There are two types of environmental factors:
The Managing Director and Management Team identifies the key internal and external factors that are relevant to its purpose and its strategic direction which affect its ability to achieve the intended result(s) of its management system. Internal environmental factors are normally easier to control than external environmental factors.
The managing Director and Management Team scans the external environment to understand the external forces of change so that they may develop effective responses which secure or improve their position in the future. External Environment includes:
The Managing Director and Management Team prepares a list of Opportunities and Threats in Form05. Business Plan.
Macro Environment includes the following factors:
Microenvironment includes the following factors:
Strengths and Weaknesses of processes are identified by Managing Director using Form05. Business Plan.
The following questions should be asked while identifying strengths and weaknesses for each process:
The business objective and targets are developed in Form05. Business Plan.
The objectives are defined and the target for each item is determined. The objectives are to be:
The management team is responsible for:
Distil Management’s staff and workers are responsible for:
Distil Management has established, implemented and maintained a process to identify legislative requirements and have access to all legal and other requirements that apply to Distil Management’s operations using Form17. Legislative Compliance Register.
The register will be reviewed and updated once a year. The evaluation will be carried out by the Management Team and the results will be reported to Managing Director.
If there are any changes/ updates in the legislative requirements, relevant policies and procedures will be reviewed and revised accordingly.
All Workers are responsible for managing compliance within their areas of influence by following the current policies and procedures. The changes and updates will be communicated to the workers and staff through meetings or receiving email updates.
Legislative compliance is maintained and updated through:
This policy identifies the requirements for delegated responsibility and authority to another suitable person in the absence of a usual position holder in place
Workers with the same qualifications and experience will be assigned as a delegate to ensure the same level of support is provided to the participants and adequate training will be provided to them.
Delegation of Responsibility and Authority Policy within Distil Management is intended to achieve the following objectives:
All delegates shall act in good faith using all reasonable skills when exercising delegated authority.
The requirements set out in this policy apply to all workers. Delegation is managed through Form28. Delegations of Authority Register and Form86. Delegation of Authority declaration form.
The delegation process involves transferring certain responsibilities and decision-making power from managers or supervisors to their subordinates or colleagues during planned or unforeseen circumstances such as sick leave and/or annual leave for example.
The purpose is to ensure there is always a process of assigning tasks, decision-making authority, and accountability to individuals or teams within an organization. It involves transferring certain responsibilities and decision-making power from managers or supervisors to their subordinates or colleagues during planned or unforeseen circumstances such as sick leave and/or annual leave for example.
The purpose is to ensure there is always support in place for the participants to be able to continuously support their needs even during unplanned events.
The responsibilities and authorities will be documented using form28 delegation of authority register. By using this register, staff responsibilities will be drawn from their job description. In the context of a delegation register, "authorities" refers to the decision-making powers or permissions that have been delegated to individuals or teams within an organization. It specifies the level of authority that delegates possess to make decisions, take actions, and perform tasks within the scope of their delegated responsibilities.
The delegation register typically documents the authorities granted to each delegate, including the extent of decision-making power and the areas in which they are authorized to act. It helps maintain transparency and clarity regarding who has the authority to make certain decisions or take specific actions within the organisation.
Staff and workers should avoid any conflict of interest in their duties and personal interests.
All employees will act in the best interests of participants and other customers, ensuring that participants are informed, empowered and able to maximise choices and controls. Staff members will not (by act or omission) constrain, influence or direct decision-making by a person with a disability and/or their family to limit that person’s access to information, opportunities, and choices and controls.
None of the staff and Workers shall misuse the position that ends to any personal benefit for themselves or anyone associated with them.
The priority of all staff and workers shall be the advantage of the Distil Management.
Workers and staff should not misuse Distil Management property, information, and data for their personal use.
Any conflict of interest should be reported to the management team to avoid any possible conflict. If any conflict is recorded in Form29. Conflict of Interest Register, a Form34. Conflict of Interest Declaration Form must be completed.
Everyone in Distil Management including workers, staff, management team and contractors shall have considered their actions as follows:
Neither we nor our worker will accept any offer of money, gifts, services, or benefits that would cause any one of us to act in a manner contrary to the interests of an NDIS participant. Further, staff and workers will not have any financial or personal interest that could directly or indirectly influence or compromise the choice of provider or provisions of support to a participant. This includes the obtaining or offering of any form of commission by staff and workers or us.
An employee must provide each participant with form87. conflict of interest declaration letter which includes if the participant wants to receive services from other providers and those providers details. this form is set out to ensure the participant is offered alternative provider company’s they may wish to choose from. this form is to be completed if management of funding and services are offered to the participant by Distil Management. this form will also apply to be completed if support co-ordination and services are provided to the participant by Distil Management.
In the annual management review meeting using Form25. Management Review Meeting Minutes, the following agenda shall be included:
Following decisions shall be taken in the management review Meeting:
It is Distil Management’s responsibility to ensure that all vehicles being used for travel and transport arrangements for participants is registered and also insured for business purposes.
This policy and Procedure involve identifying and managing risks as part of risk management. There is a wide range of risks involved in the risk management process, including operation, workers, and participants’ risk. Risks are inevitable, but risk management aims to control the risks and mitigate them. Risk Management has a wide range of benefits from a reduction in downtime to increasing innovation, quality, and efficiency as a result of continuous improvement.
| WORD/TERM | DEFINITION |
|---|---|
| Risk | |
| Risk Assessment | |
| Risk Treatment |
Distil Management is committed to supporting the health, safety, and welfare of all people we employ and to the people affected by our undertakings. Distil Management continuously supports improvements in workplace health and safety by adopting a planned systematic approach to Occupational Health and Safety. This approach includes risk management and consultation.
As part of our overall commitment Distil Management is committed to:
Distil Management take its responsibility to identify and manage all types of organisational risks (including compliance, financial, safety, health, environmental and operational risks) very seriously. Distil Management will engage with staff and workers and relevant stakeholders to identify risks to operations and to communicate risk management strategies.
Risk management shall:
To manage and control risks and opportunities, the company uses Risk Management Model shown below:
Where relevant, the risk management system includes measures for the prevention and control of infection and outbreaks. Supports and services are provided in a way that is consistent with the risk management system. Appropriate insurance is in place, including professional indemnity, public liability and accident insurance.
A list of organisational risks including compliance, financial, safety and health, environmental, and operational risks (risks to participants, financial and work health and safety risks, and risks associated with the provision of supports) is identified in Form01. Risk Register. All areas of the organisations will be addressed, and can be grouped according to the following broad categories:
Specific risks to each participant are identified using Form27. Initial Assessment and Support Plan. It is all staff and workers s’ responsibility to report any risk to participants, workers and the provider to their relevant supervisor or manager. New hazards can be identified using Form14. Hazard identification report.
Assess risk according to the consequences and likelihood of the hazard/aspect occurring. The level of experience and the capabilities of all workers is taken into consideration throughout this process. The risk rating is recorded on Form01. Risk Register. Risk Calculation Process:
| Business | Safety | ||
|---|---|---|---|
| 5 | Major | ||
| 4 | Severe (High) | ||
| 3 | Moderate | ||
| 2 | Minor | ||
| 1 | Low Significant |
| LIKELIHOOD GUIDE | Almost Certain | 5 |
| Likely | 4 | |
| Possible | 3 | |
| Unlikely | 2 | |
| Rare | 1 |
| Severity | Low Significance | Minor | Moderate | Severe | Major | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Occurrence | 1 | 2 | 3 | 4 | 5 | ||||||
| Almost Certain | 5 | Medium | 6 | High | 7 | High | 8 | High | 9 | High | 10 |
| Likely | 4 | Medium | 5 | Medium | 6 | High | 7 | High | 8 | High | 9 |
| Possible | 3 | Low | 4 | Medium | 5 | Medium | 6 | High | 7 | High | 8 |
| Unlikely | 2 | Low | 3 | Low | 4 | Medium | 5 | Medium | 6 | High | 7 |
| Rare | 1 | Low | 2 | Low | 3 | Low | 4 | Medium | 5 | Medium | 6 |
| Type of Risk | Range | Mitigation Action |
|---|---|---|
| Low | 2-4 | |
| Medium | 5-6 | |
| High | 7-10 |
All identified risks are to be assessed, and treatment shall be taken for them as a part of the relevant person responsibility. Management or treatment options for risks expected to have positive outcomes include:
Management options for risks having negative outcomes look similar to those for risks with positive ones, although their interpretation and implications are completely different. Such options or alternatives might be:
The management team ensures that the risk assessment register (Form 01) is regularly reviewed to check their effectiveness and, as necessary, revised
The effectiveness of risk assessment shall be checked on an ongoing basis and should be revised if required. The revision could take place in the following circumstances but is not limited to these:
Provide regular reports and updates to assure that risks are being appropriately managed and treated.
| Type | Risk | Risk Mitigation |
|---|---|---|
| Participant Risk Management | ||
| Compliance Risk Management |
Ensure a compliance risk assessment is carried out under the risk management framework if the organisation operations comply with laws and regulations. Compliance risks include but are not limited to: |
|
| Work Health and Safety |
It is the management team’s responsibility to eliminate WHS risk; meaning that WHS risks need to be considered in the risk management plan. Hazards identification involves any situation or action which may cause harm to people or property. Some of the common hazards include: |
There are different risk mitigation methods, including: |
| Human Resource Risk Management |
The risk management plan should address risks related to human resources. These risks include: |
Human resource risk mitigation plan requires: |
| Financial Risk Management |
There are different financial risks, including: |
Risk management strategies include: |
| Emergency and Disaster Management |
There are different risks, including: |
Risk management strategies include: |
The purpose of this document is to ensure that participants information is properly recorded, identified, current and kept confidential. Management of each participant’s information ensures that it is identifiable, accurately recorded, current and confidential. Each participant’s information is easily accessible to the participant and appropriately utilised by relevant workers.
| WORD/TERM | DEFINITION |
|---|---|
| Information | |
| Information Management |
Distil Management is committed to protecting the security of its information and information systems.
Documents are stored with appropriate use, access, transfer, storage, security, retrieval, retention, destruction, and disposal processes. This is addressed by having passwords and antivirus in place for electronic devices. For hard copies (if applicable), the files will be stored in secured cabinets and access will be provided to the relevant workers.
According to the above direction all staff and workers are committed to:
A confidentiality agreement has been signed by all workers using Form19. Privacy & Confidentiality Agreement. Records including all completed forms and templates either in hard copy or electronically are maintained for 7 years. For instance, complaint records and incident records shall be kept for 7 years.
Information Management system should be in a way that:
All personal information of participants staff and workers shall be:
A printed version of the personal confidential information shall be stored securely when not in use, for example in a lockable cabinet.
Information security shall be treated as a vital part of the system.
The Managing Director can conduct a random information security evaluation.
Social media for marketing should be used by authorised people.
Confidential information including personal information shall not be posted on social media.
Portable devices including smartphones, laptops and portable storage devices shall be password locked.
During the intake process (including interviews and meetings with the participant), each participant is informed of how their information is stored and used, and when and how each participant can access or correct their information and withdraw or amend their prior consent.
Always strong password shall be used. It means, it should be at least 8 characters including
The following password elements are prohibited:
The following practices are prohibited:
Passwords should be regularly changed, for example, every 6 month
Passwords should not be kept on a piece of paper lying around
Each participant’s consent is obtained to collect, use, and retain their information or to disclose their information (including assessments) to other parties, including details of the purpose of collection, use and disclosure. Form18. Participant Information Consent Form will be used for this purpose.
Each participant is informed in what circumstances the information could be disclosed, including that the information could be provided without their consent if required or authorised by law.
Participant’s consent rights are as follows:
Distil Management is committed to protecting personal privacy and recognises that staff and participants have a reasonable expectation that Distil Management will protect and appropriately manage the personal information it holds about them.
This Procedure outlines the actions to be undertaken on a data breach and, where considered an eligible data breach under the National Data Breach Scheme, notify individuals and the Australian Information Commissioner of the breach.
This procedure governs suspected data breaches and applies to all Distil Management staff, affiliates, students, contractors and any other third party who collects or manages personal information on behalf of Distil Management.
A data breach happens when personal information is accessed or disclosed without authorisation or is lost. For example, when:
Distil Management must notify
affected
individuals and The Australian Government
– Office of the Australian
Information Commissioner when a data breach
involving
personal
information is likely to result in serious harm. The
notification to
individuals must include recommendations about the
steps
they
should
take in response to the data breach.
Except as otherwise specified in this procedure, the meaning of terms used in this policy:
| WORD/TERM | DEFINITION |
|---|---|
| Eligible Data Breach |
The Privacy Amendment (Notifiable Data Breaches) Act 2017 (Cth), also referred to as the Notifiable Data Breaches (NDB) Scheme amends the Privacy Act 1988 (Cth) (the Commonwealth Privacy Act), and in the instances where the NDB Scheme applies to Distil Management, there is a mandatory requirement for Distil Management to notify the Commonwealth Privacy Commissioner and affected individuals of “eligible data breaches”. An eligible data breach occurs if: the entity has not been able to prevent the likely risk of serious harm with remedial action |
| Loss Of Data |
Loss refers to the accidental or inadvertent loss of personal information held by the Distil Management in circumstances where it is likely to result in unauthorised access or disclosure. For example, where a staff member leaves personal information (including hard copy documents, unsecured computer equipment, or portable storage devices containing personal information) on public transport. |
| Unauthorised Access |
Unauthorised access of personal information occurs when personal information that an entity holds is accessed by someone who is not permitted to have access. This includes unauthorised access by an employee of the entity, or an independent contractor, as well as unauthorised access by an external third party (such as by hacking). For example, a staff member browses a participant’s file or personal record without any legitimate purpose. |
| Unauthorised Disclosure |
Unauthorised disclosure occurs when an entity, whether intentionally or unintentionally, makes personal information accessible or visible to others outside the entity, and releases that information from its effective control in a way that is not permitted by the Privacy Act. This includes an unauthorised disclosure by an employee of the entity. For example, as staff member accidentally publishes a confidential data file containing the personal information of one or more individuals on the internet without the participant’s consent. |
| Harm |
Data breaches can cause significant harm in multiple ways. Individuals whose personal information is involved in a data breach may be at risk of serious harm, whether that is harm to their physical or mental well-being, financial loss, or damage to their reputation. Examples of harm include: |
Access to personal information is granted to staff only where this is necessary for work purposes and staff must only access personal information if there is a work related reason for this. Personal information must be protected against loss, unauthorised access or modification, disclosure or misuse.
A suspected data breach is considered to be any event which may have involved Unauthorised Access, Unauthorised Disclosure or Loss of Data involving personal.
If a staff member becomes aware of a suspected data breach, they are to contact the Distil Management as soon as possible with as much information as is available either via phone or email
The information to be provided includes:
Distil Management only has thirty (30) days from becoming aware of the breach, to carry out a reasonable and expeditious assessment as to whether there are reasonable grounds to believe that the data breach has been an eligible data breach.
An eligible data breach arises when the following three criteria are satisfied:
there is unauthorised access to or unauthorised disclosure of personal information, or a loss of personal information, that Distil Management holds;
this is likely to result in serious harm to one or more individuals; and
the Distil Management has not been able to prevent the likely risk of serious harm with remedial action.
Whether a data breach is likely to result in serious harm requires an objective assessment by the Distil Management based on information immediately available or following reasonable inquiries or an assessment of the data breach. The potential kinds of harms that may follow a data breach include:
The likelihood of a particular harm occurring and the anticipated consequences for individuals whose personal information is involved in the data breach if the harm materialises are relevant considerations
If Distil Management acts quickly to remediate a data breach, and as a result of this action the data breach is not likely to result in serious harm, there is no requirement to notify any individuals or the Australian Information Commissioner. There are also exceptions to notifying in certain circumstances.
If personal information is lost in circumstances where subsequent unauthorised access to or disclosure of the information is unlikely, there is no eligible data breach. For example, if the personal information is remotely deleted before an unauthorised person could access the information, or if the information is encrypted to a high standard making unauthorised access or disclosure unlikely, then there is no eligible data breach.
If a data breach is declared eligible by Distil Management, an incident report will be completed using Form04. Incident Report.
The Distil Management is required to prepare a statement and provide a copy to the Office of the Australian Information Commissioner (OAIC). The form includes the name and contact details of the Organisation Name, a description of the Eligible Data Breach, the kind or kinds of information involved, and what steps Distil Management recommends to individuals at risk of serious harm, in response to the eligible data breach. The OAIC form will also be submitted to the NDIS Commission along with Form04. Incident Report
The Distil Management Data Breach Response Plan comprises four steps (consistent with the OAIC guide to managing data breaches in accordance with the Privacy Act 1988 (Cth)
| STEP 1 CONTAIN |
Once a data breach is suspected immediate action must be taken to limit the breach. For example, stop the unauthorised practice, recover the records, or shut down the system that was breached. If it is not practical to shut down the system, or if it would result in loss of evidence, then revoke or change computer access privileges or address weaknesses in physical or electronic security. To identify strategies to contain a data breach consider: Notify Distil Management Director: During this preliminary stage, be careful not to destroy evidence that may be valuable in identifying the cause of the breach, or that would enable the entity to address all risks posed to affected individuals or the entity. |
| STEP 2 ASSESS |
An assessment of the data breach will identify the risks posed by a data breach and how these risks can be addressed and must be conducted as expeditiously as possible by Organisation’s Director based on the information available. The aim is to understand the risk of harm to affected individuals, and identify and take all appropriate steps to limit the impact of a data breach. Considerations in this assessment include: Remedial action to reduce any potential harm to individuals should be taken (such as recovering lost information before it is accessed). This might also take place during Step 1: Contain. Distil Management to determine whether the data breach is an eligible breach under the NDB scheme. This assessment is to occur within 30 days and determined in accordance with the criteria for assessing a data breach, including the risk of harm and remedial action at sect 3. If it is an Eligible Data Breach, the Distil Management will convene the Notifiable Data Breach Response Team for steps 3 and 4. |
| STEP 3 NOTIFY |
Notification to affected individuals may be considered for data breaches but must be undertaken for eligible data breaches under the NDB Scheme. Notification can be an important mitigation strategy that has the potential to benefit both Distil Management and the individuals affected by a data breach. However, notifying individuals can cause undue stress or harm. For example, notifying individuals about a data breach that poses very little or no risk of harm can cause unnecessary anxiety. It can also de-sensitise individuals so that they don’t take a notification seriously, even when there is a real risk of serious harm. Each incident needs to be considered on a case-by-case basis to determine whether breach notification is required. In considering to notify individuals who may be impacted by a data breach the following should be considered: Effective data breach response is about reducing or removing harm to affected individuals, while protecting the interests of the Distil Management. Notification has the practical benefit of providing individuals with the opportunity to take steps to protect their personal information following a data breach, such as by changing account passwords or being alert to possible scams resulting from the breach. Individuals who have been affected by a data breach must be dealt with sensitivity and compassion, in order not to exacerbate or cause further harm. Notification may also serve to demonstrate that privacy protection is taken seriously. If it is an eligible data breach, notification options include: Option 1 – Notify all individuals whose personal information was part of the eligible data breach and would be used when Distil Management cannot reasonably assess which particular individuals are at risk of serious harm from an eligible data breach that involves personal information about many people, but serious harm is likely for one or more of the individuals. Option 2 — Notify only those individuals at risk of serious harm. Option 3 — Publish notification if neither option 1 or 2 above are practicable, for example, if the entity does not have up-to-date contact details for individuals, this may include providing a copy of the statement on the website and take reasonable steps to publicise the statement. |
| STEP 4 REVIEW |
Form04. Incident Report will be completed on an eligible data breach incident to improve personal information handling practices. This might involve: The intent of the Form04. Incident Report is to strengthen the Distil Management personal information security and handling practices, and to reduce the chance of reoccurrence. A data breach should be considered alongside any similar breaches that have occurred in the past, which could indicate a systemic issue with policies or procedures. If any updates are made following a review, staff will be notified in any changes to relevant policies and procedures to ensure a quick response to a data breach by documenting it on Form59. Continuous Improvement Register. |
The purpose of this policy & Procedure is to set out how a person can provide feedback and make complaints about any aspect of Distil Management’s operations and the process that Distil Managementwill take to acknowledge, assess and resolve the complaint in a fair, efficient and timely manner.
This document outlines the policy & Procedure of making complaints and providing feedback to Distil Management about their operations and the processes. The responsibility of effective implementation of complaint management procedure is with the Managing Director of their delegate.
| WORD/TERM | DEFINITION |
|---|---|
| Compliment |
An expression of praise, encouragement or gratitude about an individual worker, a team, or a service. |
| Complaint |
Broadly speaking, a complaint is an expression of dissatisfaction with an NDIS support or service, including how a previous complaint was handled, for which a response or resolution is explicitly or implicitly expected. A complaint is someone letting you know that your service is not ‘hitting the mark’. |
| Feedback |
Information provided in response to service delivery, such as reactions to a service provided or a person’s performance of a task, is used as a basis for improvement. Includes compliments, complaints, concerns, comments, or suggestions. Any concerns, compliments, complaints, comments or suggestions about the service delivery methods, quality of services, the performance of a task are used as an improvement baseline for the organisation. |
| Complainant |
This means a person who makes a complaint |
The Best practices and continuous improvements that are promoted by the management team create a supportive and respectful culture in Distil Management that supports the workers, stakeholders, and participants to be open to make complaints and feedback and report any issues. In the performance assessment of the management team, this will be assessed and reviewed.
Distil Management is committed to handling all complaints and feedback until it is resolved completely.
The information related to the complaints and feedback will be dealt with confidentially in a way those are discussed directly with involved people. If the consent has been provided, a third party would be able to lodge complaints and feedback on behalf of another person.
Tracking and analysing feedback and complaint data could identify any ongoing issue. As a part of the continuous improvement process, the feedback, complaints, and dispute resolution will be discussed in management team meetings regularly.
Information about this policy & Procedure will be shared with any participant or stakeholder wishing to lodge feedback.
We protect any personal information people give us – we keep your information private.
In the worker’s induction, all workers will be trained in this policy & procedure to provide the stakeholders with the information related to the feedback, complaints, and compliments. For this purpose, the Worker handbook is also used.
Continuous improvement is an important part of the team meeting agenda covering workers and participant feedback and complaints. Complaints management is also on the management review meeting Agenda.
If requested by workers, this information will be provided to them and will be displayed in Distil Management ’s premises at all times.
A variety of formats including an easy English version as well as translated versions of the information related to the feedback and complaints will be provided to stakeholders including workers and participants. Interpreters and referrals are available, too.
Workers will provide all participants, their families, and carers with information when they first access the service and, throughout service delivery, remind them of the policy and their right to make a complaint without fear of affecting their service.
All participants, their families and carers will be provided with the relevant policies & Procedures and their right to make complaints in the commencement of service as well as throughout the service delivery by Distil Management workers. For this purpose, the Participant handbook is also used.
The roles and responsibilities of the workers when a complaint is received as well as their awareness of the policy & Procedure will be assessed in the performance reviews. If required, additional in-house training, on the job training and formal training will be provided. Managers and supervisors will be monitoring this.
The general principles guiding actions under the NDIS Act also describe the rights of people with disability to:
Any stakeholder will be able to provide feedback at any time through:
A Form03. Improvement Report will be completed by the receiving worker or the management team if the feedback is provided verbally.
Support and assistance (e.g., involvement of a support person, interpreter, or advocate) will be provided to people who should participate in the feedback mechanism if required.
For an easy resolution without recourse to the Procedure of complaint management, individuals are encouraged to contact by Distil Management to lodge a complaint.
Distil Management will handle all complaints until it is resolved completely.
The complaint could be made by individuals at any time to the NDIS Commission, the Health and Community Services Commissioner.
Individuals could use an advocate of their choice if they like to act on their behalf. The advocate could be a family member or friend or sourced from the National Disability Advocacy Program.
As the first step of complaint resolution, the management team will discuss the complaints with the other party involved in the complaint.
The complaint will be treated as a formal complaint if it cannot be resolved promptly within a proper timeframe. If the individuals are not aware of their rights, the workers should advise them on how to lodge a complaint and assist them properly if they wish.
A complainant needs to lodge a complaint using Form02. Complaint Report Form.
Formal complaints can be lodged:
Individuals could use an advocate of their choice if they like to act on their behalf. The advocate could be a family member or friend or sourced from the National Disability Advocacy Program.
The complaint will be referred to the Managing Director if it alleges an actual or possible criminal activity, abuse, or neglect. As per this policy & Procedure, the Managing Director will report the complaint to the NDIS and any other relevant authority for further investigation.
In resolving a complaint, Distil Management will:
For investigation and resolution, the management team will refer the complaint to the Managing Director, if they cannot resolve it.
Investigation of complaints will not be conducted by a person about whom a complaint has been made. If required, the management team will determine the appropriate person to undertake the investigation.
The management team will determine the appropriate person for the complaint investigation.
All complaints should be responded to by Distil Management as soon as possible within 28 days from acknowledgment.
An update to the complainant is required within 28 days if the complaint cannot be resolved in full.
The date by which full response can be expected should be provided to the complainant. The response could be provided verbally in the first instance, but it shall be confirmed in writing.
Any misunderstanding regarding the complaint could be supported by someone from Distil Management if required. (e.g., interpreters, referral to advocates, etc.).
Complaint resolution should include:
Options for actions responding to a complaint include but are not limited to:
Also, the below actions can be done:
Complaint and Feedback monitoring and review are on the Management Review Meeting Agenda, which will be discussed in detail. Form25. Management Review Meeting Minutes is used for this purpose.
Following mechanisms would be followed by Distil Management for measuring participants and stakeholders’ satisfaction:
The risk assessment will be reviewed after any complaints.
Complaint records will be kept for 7 years from the day the record is made.
This Policy & Procedure will be reviewed annually.
In case, if Distil Management could not satisfy the complainant, details of another agency will be provided to assist them in achieving the resolution.
All complaints, including the escalated complaints, will be tracked from the same kind of report and the same method of communication will be applied.
The participant can be made directly a complaint or feedback and send it to the NDIS Commission.
A complaint can be made to the NDIS Commission by:
Worker’s selection, recruitment, and management, is the purpose of this policy & Procedure to demonstrate Distil Management ’s practices of effective, transparent and fair human resource management.
| WORD/TERM | DEFINITION |
|---|---|
| Act |
This means the National Disability Insurance Scheme Act 2023 |
| Engaged |
A person is engaged, including volunteers, by an NDIS provider when both the involved person and the organisation have agreed that the person will provide supports or services for people with disability who receives funding under the NDIS or the Commonwealth Continuity of Support Programme relating to Specialist Disability Services for Older People. |
| NDIA |
National Disability Insurance Agency, whose role is to implement the National Disability Insurance Scheme (NDIS). |
| NDIS |
National Disability Insurance Scheme, which is a new way to support a better life for hundreds of thousands of Australians with a significant and permanent disability and their families and carers. |
| NDIS Commission |
Means the National Disability Insurance Scheme Quality and Safeguards Commission. |
| NDIS provider |
A person (other than the NDIA) who receives: a person or entity who provides supports or services to people with a disability other than under the NDIS; and who are prescribed by the NDIS rules as an NDIS provider. See s 9 of the Act. |
| Participant |
A person with a disability receives support or services from an NDIS provider. In this guide, we generally refer to NDIS participants. |
the Managing Director is responsible for ensuring that the Organisational charts and Form07. Job Description is developed, updated, and available for all positions which outline:
In Distil Management, is committed to delivering high-quality services to its participants that support building and promoting a diverse and talented workforce.
Distil Management is committed to employing sufficient numbers of workers to meet legislative, policy & procedure and service standards requirements by considering qualifications and experience.
Distil Management workers will meet the minimum qualification requirements in place for the delivery of services to NDIS participants.
All staff are selected based upon their initial education or training, their experience, specific areas of expertise, general demeanour, and work ethic. Personnel employed, demonstrate that they have the competencies required for the position, as defined in the job description.
Workers shall be requested to complete a Form06. Worker Information Form and sign relevant Job Description and Workers Handbook.
Form19. Privacy & Confidentiality Agreement shall be signed by all workers to protect Distil Management’s confidential information and practices.
The below items are mandatory for all new workers, volunteers, agents, contractors, and subcontractors before start:
100 points proof of ID – consists of a combination of at least one primary identification document and one secondary identification document. Secondary identification documents must include your full name, and your photograph or signature.
Primary identification documents (70 points each) include:
Secondary identification documents (40 points each) include:
Who needs to be screened?
Registered NDIS providers in all states and territories (except for Western Australia) have responsibilities and obligations about screening their workers under the NDIS Commission. These are set out in the NDIS (Practice Standards – Worker Screening) Rules 2018. As per this rule, all staff working in the risk assessed roles should undergo an NDIS Workers Screening Check. The Worker Screening unit in each state is as of the following:
Based on the information provided by the NDIS Commission, the risk assessed role is one that:
Any person in the organisation who will require more than incidental contact with a person with a disability including physical contact, Face to Face contact, oral, written and/ or electronic communication.
For those staff who are not engaged in a risk-assessed role, the NDIS Provider does not have to have the NDIS Workers Screening Clearance or the acceptable checks under a transitional and special arrangement.
As per the NDIS (Practice Standards – Worker Screening) Rules 2018, a list of Risk Assessed roles using Form61. Risk Assessed Role Register should be kept by an NDIS Registered Provider. This list must include the following information for each risk assessed role and be kept in the organisation for at least 7 years:
A list of the workers who are engaged in a risk-assessed role should be maintained using Form09. Training Matrix containing the following information:
Provide the certificate of completion of the NDIS worker orientation program (mandatory training). You can find it here
Personal accident insurance or worker's compensation insurance where a provider has staff. A certificate of currency for current insurance that meets the minimum level of cover commensurate to the scope of the provider.
The management team are responsible for:
In addition to the Mandatory Checks, the identity (through photo identification) and qualification (through sighting a copy) of all prospective workers will be confirmed by the management team.
All workers will undertake a comprehensive induction process using Form08. Induction checklist before engaging with participants.
For each worker, the following details are recorded and kept up to date:
Records of induction, mandatory checks training and organisational and professional development provided to all workers will be kept on each worker’s record and on Training Matrix Form09. Training Matrix.
First Aid Training, Disability and Individual Support related training are beneficial.
Workers with capabilities that are relevant to assisting in the response to an emergency or disaster (such as contingency planning or infection prevention or control) are identified in Form82. Emergency and Disaster Management Plans
Infection prevention and control training, including refresher training, is undertaken by all workers involved in providing support to participants and All training shall be recorded in Form09. Training Matrix form.
Training requirements shall be identified by reference to position description which shall outline skills and competency requirements. All training shall be recorded in Form09. Training Matrix form.
The workers will be notified by the management team to complete their refresher training in these areas annually and keep track of the workers training currency through Form09. Training Matrix form.
Training will be provided by the Annual Training Schedule, maintained by the management team.
Plans are in place to identify, source and induct a workforce if workforce disruptions occur in an emergency or disaster.
An ongoing opportunity for training and development of workers will be provided by Distil Management that enhance and extend their capabilities as well as providing them with the chance of advancement in their organisation.
Every worker and management team member would be able to have the opportunity to participate in training and development activities.
On-the-job training, internal or external courses, support for research and fieldwork, conference and seminar attendance, networking and mentoring programs are available to workers as a part of training and development methods.
Performance Reviews will motivate workers to play an active role in their ongoing improvement by identifying their training and development needs in consultation with their manager.
Any such team meetings or training sessions need to be documented on the Form30. Minutes Of Meeting to show evidence and for each attendee to sign off on their understanding and attendance.
If a manager decides that any skill and/or qualification is needed for a worker to carry out their duties, the management team in consultation with the workers will decide about the costs incurred. If a worker believes that they need a particular skill set for performing their routine duties, they should discuss this with their manager or supervisor. In this case, the management team will decide, in consultation with the worker, whether the worker needs any training and who will pay the cost.
By considering the needs and skills of workers, Distil Management will provide fair access to development and training opportunities for all workers
A performance review will be conducted for all Workers using Form10. Worker Performance Assessment either annually or when required to assess their capability in performing their role as well as understanding and implementing organizational policies and procedures.
The supervisor will review the workers’ performance for the past year before the interview.
A support person or senior manager could be requested during the interview by either party.
A Form10. Worker Performance Assessment will be completed by a supervisor.
A copy of the performance review of the workers including all documentation shall be kept on the worker’s records for all workers.
If workers choose to end their employment shall inform the organisation at least four weeks before their leave. This notice shall be in writing.
During the notice period, Distil Management has the discretion to pay the worker to have them working during this period.
Within 28 days after the end of the worker’s employment with the organization, Distil Management shall ensure all salary and entitlements are paid to them.
Workers may face disciplinary action if they do not have satisfactory performance, engage in misconduct or do not abide by Distil Management’s policies and procedures.
As soon as a problem arises, the supervisory and management team are responsible for identifying it and taking immediate action. Any records related to the advisory and performance-related discussions shall be kept on workers records.
The principles of natural justice shall be followed in all processes. This means the workers’ point of view shall be stated before taking any action and managers should not act biased.
If any misconduct happened by any worker, they shall be dismissed immediately. Misconduct can include theft, assault, and fraud. A high level of evidence shall support such actions.
Some other misconducts that may result in disciplinary action are:
The worker shall be advised if any misconduct or unsatisfactory performance is identified by the supervisor.
Standard of the worker’s performance is required to improve by training. Within a reasonable timeframe, the worker should be provided with an opportunity to improve their performance.
The Form03. Improvement Report Form shall be submitted to the Managing Director by the supervisor. The worker should be notified before writing the report and provided with a copy.
Distil Management shall comply with all State and Federal legislation and the worker’s Employment Contract about disciplinary action and employment termination
Distil Management shall ensure:
Workers may be dismissed based on:
It is the management team’s responsibility to ensure teamwork is promoted in the organization environment and structure and motivates workers to take responsibility.
Regular team meetings are conducted, and workers are expected to attend where access to information sharing, training, development, and debrief opportunities are granted.
A mentoring session with every worker’s immediate supervision will be offered if required.
Worker’s recognition and reward system will be developed by the Managing Director.
Workers will wear a uniform or ID tag/badge to ensure participants can easily recognise them
The purpose of this document is to ensure that appropriate support is provided to the participants without interruption and promptly. The ways that support is provided to the participants in the worker’s absence is also defined in this policy and procedure.
Distil Management ‘s services and supports are tailored for every participant.
Distil Management ‘s day-to-day operations are managed efficiently and effectively to avoid disruption and ensure continuity of support. Form27. Initial Assessment and Support Plan is used for this purpose to identify daily activities and the supports required. The Operations Manager will ensure to provide all staff with their rosters through Form60. Rostering Schedule
In case of any changes to the scheduled service, the participant would be notified to seek approval.
During the period of service agreement, Distil Management will ensure that there is no interruption in the provided services by using Form60. Rostering Schedule. Where changes or interruptions are unavoidable, alternative arrangements are explained and agreed upon with the participant. The Operations Manager will Manager contacts the participant to:
When a Support worker is absent, or a vacancy becomes available then Operations Manager will:
Support workers who are unable to work are required to contact the Manager. If there is an intended absence (such as vacation or appointment), then the Support workers must inform the Manager at the earliest opportunity, to allow time to prepare the participant.
All workers will be provided with the participant’s preferences before the support initiation.
A commitment to managing daily operations efficiently will be provided to ensure continuous support and minimum disruptions.
Where applicable, disaster preparedness and planning measures are in place to enable the continuation of critical supports before, during and after a disaster. In case of a critical situation, if any of the workers are not available, the management will assign some other workers with the same qualification according to Form28. Delegations of Responsibility and Authority Register.
Once in a month back up of the information of such computing devices needs is taken
Our website is available to the general public. Before modification or updating of matters on our website, all updating is reviewed and approved by Managing Director. Also, the website is protected by passwords and integrity is ensured.
Precautions are taken to prevent and detect the introduction of malicious software and information processing facilities that are vulnerable due to computer viruses, network worms etc. We are using the latest version of anti-virus software and all the latest definitions are updated timely on all the machines and necessary settings are done to update the same.
It is the management team’s responsibility to ensure that the Emergency response plan is reviewed and updated every year.
Support workers will receive a copy of Form27. Initial Assessment and Support Plan, Form26. Goal Plan for Participant and Form20. Participant Intake Form upon receiving consent from participant to know about each client’s preferences.
Alternative arrangements for the continuity of support for each participant, where changes or interruptions are unavoidable, are:
The purpose of this policy & procedure is to provide guidance to workers when the participant/family member does not respond to the phone, doorbell or knock on the door at a time when the participant had a rostered support booked. This policy is in place to ensure the safety and well-being of participants in the event they and/or their family are absent from their home or not responding when we make a scheduled visit.
Distil Management has the duty of care in relation to taking appropriate and timely action when a participant does not respond to a scheduled visit. Distil Management seeks to reduce the risk of an adverse event by seeking earliest discovery of a mishap and ensuring that all attempts have been made to ensure the participant is safe and well prior to leaving the house. Each family is made aware of the cancellation policy and how cancellation charges are allocated is contained in the Form21. Service Agreement
Visiting workers and their supervisor use their understanding of each family when they implement the procedure.
The purpose of this document is to ensure that each participant accesses the most appropriate support that meets their needs, goals, and preferences. In addition, exit and entry requirements are described in this policy to define the rights and responsibilities of both participants and providers.
Eligibility criteria apply to the participants who wish to select Distil Management as their service provider:
Participants may be interviewed, and information included in the participant’s NDIS plan will be considered in the interview.
in case Distil Management cannot provide support in a specific area, the participant may receive a referral to another provider with better-suited capabilities. to facilitate this, the management team must use Form44. Referral Form.
After a reasonable timeframe of the intake interview, the management team will inform the participant about the outcome of their interview
If the participant is accepted, the process of intake will be started.
Before starting, the participant shall complete and sign the below documents:
An initial assessment will be done by the management team using Form 27. Initial Assessment and Support Plan and Form 26. Goal Plan for Participant to identify participant’s needs and associated risks. In collaboration with each participant, a risk assessment is completed and documented for each participant’s support plan, then appropriate strategies to treat known risks are planned and implemented. Also, periodic reviews of the effectiveness of risk management strategies are undertaken with each participant to ensure risks are being adequately addressed, and changes are made when required.
The management team will provide the participant with a clear reason based on their skills, resources, or capacity.
There may be reasons for refusing the service provider as follows:
Distil Management’s staff and workers will provide an update on the person’s status in the waiting list as follows:
It is the participant’s right to receive services in a clean, hygienic, safe and secure environment with the implementation of the following measure by Distil Management:
Reasonable adjustments to the support delivery environment are made and monitored to ensure it is fit for purpose and each participant’s health, privacy, dignity, quality of life and independence is supported.
Distil Management will make all the efforts to provide the agreed services to the participants. Distil Management will help participants to get the services that support them in the path to achieve their goals and targets.
Distil Management will try to minimise the cancellation of scheduled services.
Distil Management shall be notified of cancellation 48 hours before the scheduled service.
If a service is cancelled after trading hours on the day before the service delivery day, or if the participant is not present on the service day, a fee will be claimed from your NDIS plan.
The participant will be charged up to 100% in case of cancellation of scheduled service and this can happen unlimited time (anonymously).
A service could be cancelled by a call or email to the office.
Participants shall contact Distil Management in the case they have changed their mind but if there is not any capacity left, they will be placed on the waiting list.
Matters that may lead to the withdrawal of the service will be reviewed regularly to prevent any recurrence.
The Managing Director of Distil Management will discuss the rights and responsibilities of the participants with them upon the entry process. In the process of induction, the participant will be informed about the reasons for service termination as of the Exit from Services plan using Form21. Participant Exit Form.
Access to support required by the participant will not be withdrawn or denied solely based on the dignity of risk choice that has been made by the participant.
Under some specific circumstances as follows, Distil Management only terminate a participant’s services when
Consultation and discussion with the participant and their supporters will be held before service termination to consult the participant and implement strategies to meet irreconcilable issues.
Distil Management will provide the person with referrals and alternative options if they refused to use the services or if Distil Management terminated their services.
Exit planning will be defined in collaboration with other service providers to meet people’s needs and expectations
It is the participant’s right to end services at any time
A fair and transparent procedure will be followed to protect participants’ rights as well as the safety and integrity of Distil Management
The management team will ensure that all staff and workers have the knowledge about the requirements of this Policy & procedure and have enough skills, knowledge, and ability to meet the requirements.
Participants may end service with Distil Management under the following reasons:
Distil Management will accept and learn from the participant who wishes to end the service
Participants might accept to be interviewed upon their exit
participants have this right to cancel their services at all times and they would be able to use the Distil Management’s services in future.
There is still the option of re-entry within a month for participants who have chosen to exit Distil Management without following the formal intake process if resources are still available.
Participants who change their minds to get back to the service after the cooling-off period would need to undertake all entry assessments.
All information and document related to the participant who has chosen to exit the organisation will remain the property of Distil Management. The records will be kept. In the process of intake or service provision, Distil Management might receive documents from other service providers which will be returned to the participant or the service provider.
Privacy and Confidentiality policy will be followed for retaining and storing all information related to the participant.
The purpose of this document is to ensure that each participant is actively involved in the development of their support plans. Support plans reflect participant needs, requirements, preferences, strengths, and goals, and are regularly reviewed.
A person-centred approach is promoted in Distil Management to give this opportunity to the individual to direct their service and keep connected with the participants. For this purpose, Form 27. An initial Assessment and Support Plan will be used.
With each participant’s consent, work is undertaken with the participant and their support network to enable the effective assessment and to develop a support plan.
Appropriate information and access are sought from a range of resources to ensure the participant’s needs, support requirements, preferences, strengths, and goals are included in the assessment and the support plan.
Participants are always at the centre of the decision-making process for all aspects of their life in a way to be able to participate in the community to follow their goals and interests. For this purpose, Form26. Goal Plan for Participant will be used.
Participants’ needs and goals will be met with the support of Distil Management staff and workers to develop their independence, problem-solving and self-caring skills.
Participants’ sexual orientation, religion and culture will be respected by workers and staff of Distil Management.
Each support plan is reviewed regularly. It depends on Participant’s plan duration. It can be every 3 months or 6 months or annually or earlier in collaboration with each participant, according to their changing needs or circumstances. Progress in meeting desired outcomes and goals is assessed at a frequency relevant and proportionate to risks, the participant’s functionality, and their wishes.
Where progress is different from expected outcomes and goals, work is done with the participant to change and update the support plan.
Any change in the goals and expectations of the participant that is outside of service scope will be assessed based on the resources of Distil Management and the participant will be notified of the outcome of the assessment.
For maintaining and strengthening the connection of Aboriginal and Torres Strait Islanders, as well as people with CALD backgrounds to their community, Distil Management, will commit to supporting them by linking them to their local communities, if possible.
In the process of Risk management in the organisation, communication between staff, workers, participants and their families, carers or advocates play a vital role. Conflicts or complaints could be managed by risk assessment.
In collaboration with each participant, a risk assessment is completed and documented for each participant’s support plan, then appropriate strategies to treat known risks are planned and implemented using Form 27. Initial Assessment and Support Plan.
Periodic reviews (at least annually) of the effectiveness of risk management strategies are undertaken with each participant to ensure risks are being adequately addressed, and changes are made when required.
Risk assessments include the following:
The dependency of participants is in place to evaluate the associated health and safety risks. The purpose of this table is to provide a structured approach to understanding and managing the needs and potential risks faced by participants to ensure their well-being and safety throughout the duration of the supports scheduled to ensure proactive arrangements are in place.
Steps to Use the Extended Table:
By considering both the participants' level of reliance on the services and the potential consequences for their health and safety in case of disruptions, Distil Management creates a more comprehensive risk assessment framework that prioritises their well-being.
Therefore, prioritising the health and safety of participants is a fundamental responsibility that promotes their well-being, respects their rights, and contributes to the overall success and sustainability of various activities and endeavours, and ultimately, the level of support the provider is required to provide the participant during their care this is reflected to be captured on Form33. Participant Disaster and Risk Assessment and prompted on Form27. Initial Assessment and Support Plan
| Risk Level | Description | Criteria | Impact on Health-Safety |
|---|---|---|---|
| Low | Participants have a low reliance on provider services to meet daily living needs. | Participants can independently perform most daily living activities without assistance. Any disruptions in services would have minimal impact on their overall well-being. | Disruptions in services would have minimal impact on participants' health and safety, as they can manage most activities independently. |
| Moderate | Participants have a moderate reliance on provider services for certain daily living needs. | Participants can perform some daily activities independently but rely on the provider for specific tasks such as transportation, meal preparation, or medication management. A disruption in services could moderately affect their overall well-being. | Disruptions in services could moderately impact participants' health and safety, particularly for tasks they rely on the provider to assist with. |
| High | Participants have a high reliance on provider services to meet essential daily living needs. | Participants require significant assistance from the provider for activities of daily living, including personal care, mobility, meal preparation, and medication management. A disruption in services would have a significant impact on their overall well-being and quality of life. | Disruptions in services would significantly impact participants' health and safety, as they rely heavily on the provider for essential tasks. There could be risks related to personal care, medical needs, and more. |
| Critical | Participants have a critical reliance on provider services for all daily living needs. | Participants are entirely dependent on the provider for all activities of daily living, including personal care, mobility, communication, medical support, and more. Any disruption in services would pose a severe and immediate threat to their health and well-being. | Disruptions in services would pose a critical threat to participants' health and safety. Their complete dependency on the provider means that any interruption could lead to life-threatening situations. |
Where appropriate, and with the consent of the participant, information on the support plan is communicated to family members, carers, other providers, and relevant government agencies using Form18. Participant Information Consent Form and Form36. Client Money and Property consent where clients are deemed incapable of managing their money and property. The communication can be undertaken via meetings or emails.
Distil Management has defined some principles for communication between Managers, staff and workers, participants and their families as follows:
Feedback mechanisms and complaint management system of Distil Management will enhance the process of identification and improvement of communication practices problems.
Internal communication between workers and staff are undertaken via emails and meetings.
Relevant information regarding policies and procedures will be communicated to the participants via the Participant Handbook.
An effective communication method between Distil Management and the participant is required for the provision of a high-quality service, so that requires Distil Management to organise interpreter services that meet the participants’ needs upon their request. This request is indicated on Form20. Participant Intake Form.
An accredited interpreter will be arranged by Distil Management if the participant is not able to communicate in English to make the communication related to the services easier for the participant.
At each new support provision appointment, the worker will ask the participant whether everything is communicated and confirm the necessity to have an interpreter in place.
If there is a matter to be dealt with in a restricted period, the participants’ families will assist with the communication. However, the providers shall make the best efforts to provide the participants with interpreters as soon as possible.
Everyone acting as an interpreter shall be over 18 years of age.
In the following areas the participants need to have access to the information related to them in their language:
Participants may request their preferred interpreters however if the interpreter is not a professional qualified interpreter, they can interpret basic information.
Each participant’s support plan is:
Each participant’s support plan is communicated, where appropriate and with their consent, to their support network, other providers, and relevant government agencies.
Each participant’s support plan includes arrangements, where required, for proactive support for preventative health measures, including support to access recommended vaccinations, dental check-ups, comprehensive health assessments and allied health services.
Each participant’s support plan:
Negotiate the specific days for services or support and document these in the Support plan.
(Where possible) agree upon time ranges for the services to build a level of flexibility into the service roster. (e.g., Start time of between 1 and 1:30 pm and 1hr of Domestic assistance).
(If not yet finalised) negotiate service fees and record these in the participant Service Agreement and on the Support Plan.
Ask the participant to sign the Support Plan to acknowledge their agreement with it.
Agree on the criteria to evaluate the effectiveness of Distil Management responses and document this in the Support Plan.
Ensure all involved stakeholders have copies of the agreed Support Plan.
Explain to the participant that the Manager will monitor the progress of the Support Pan, but the participant may also request a review of the Plan at any time.
Provide a copy of Form76. Table of Events to the staff and display it in a communal area at the start of every week.
Form101. Group & Centre based activities agenda has been created for the ease of providers when creating an agenda for a group of participants to attend a planned trip.
The purpose of this document is to ensure that each participant has a clear understanding of the supports they have chosen and how they will be provided.
The service agreement using Form22. Service Agreement is to be completed individually by the participant relating to the person’s NDIS plan.
A service agreement will be developed with participants’ collaboration outlining the following items:
Participants who are subject to section 73G of the NDIS Act will be registered on Form56. High-Risk Participant Register and some Specific support workers will be delegated to them who are registered on this form. The level of risk for each participant will be determined using the consequence rating table from the participant risk assessment. The plan to communicate with each participant who is either identified as a low, medium, or high risk is as of the following table:
| Participant Risk Level | Communication with the Participant | ||
|---|---|---|---|
| Feedback | In-person Welfare Check (Minimum) |
Welfare Check via Phone |
|
| Low Risk | Quarterly survey | 3 months to 4 months | Monthly |
| Medium Risk | Quarterly survey | 1 month to 3 months | Fortnightly |
| High Risk | Quarterly survey | 2 weeks to 1 month | Weekly |
For more information related to levels of risk, please refer to Form33. Participant Disaster and Risk Assessment .
Both parties will ensure that they have a set of agreed expectations and goals of what support and how they will be delivered. A service agreement will outline the responsibilities and obligations of both parties and how they will solve any arising problem.
Each participant will be briefed about the service agreement and Distil Management’s staff and workers will ensure that the participant is aware of service agreement items using the understandable modes of communication, language and terms.
The participant will receive a copy of the service agreement upon signing the agreement and a copy of the signed agreement will be kept as a provider’s record. Where this is not practicable, or the participant chooses not to receive an agreement, a record is made of the circumstances on the service agreement under which the participant did not receive a copy.
The service agreement may be changed only if both parties have agreed to the changes in writing. The changed agreements need to be signed and dated.
Service agreement may be ended if either of the parties wishes to end it and they will notify the other party at least one month before the ending date.
In any case, if Distil Management or the participant breach the agreement seriously, the one-month notice will be waived.
Any costs occurring in the case of cancellation policy as well as activities required for cancellation needs to be outlined in the Service Agreement.
Where the provider delivers supported independent living supports to participants in specialist disability accommodation dwellings, documented arrangements will be in place with each participant and each specialist disability accommodation provider. In this case, the arrangements recorded, and roles and responsibilities of both parties will be mentioned in the service agreement. This information could be as follows:
Service agreements set out the arrangements for providing supports to be put in place in the event of an emergency or disaster.
The purpose of this document is to ensure that each participant accesses responsive, timely, competent, and appropriate support to meet their needs, desired outcomes, and goals.
Distil Management is committed to providing:
Supports are provided through service agreement based on the least intrusive options, by contemporary evidence-informed practices that meet participant needs and help achieve desired outcomes.
Where agreed in the service agreement, and with the participant’s consent or direction, links are developed and maintained through collaboration with other providers to share information and meet participant needs.
Reasonable efforts are made to involve the participant in selecting their workers, including the preferred gender of workers providing personal care supports.
Where a participant has specific needs, which require monitoring and/or daily support, workers are appropriately trained and understand the participant’s needs and preferences.
Distil Management will check and review the support regularly to ensure a goal-oriented service is provided to meet the needs of participants by reviewing Form26. Goal Plan for Participant and Form27. Initial Assessment and Support Plan.
When the support plan is not in the right pathway toward goals and work, participants will be involved to change or update the support plan.
All participants’ independence, quality of life as well as dignity and privacy are supported in Distil Management.
Other service providers will be linked to the participant to enhance service provision toward the goals and needs of the participant if agreed in the service agreement.
Participants should be able to identify their support worker(s), including the preferred gender of workers providing personal care supports. This can be identified on the support plan.
Where a participant has specific needs, which require monitoring and/or daily support, workers are appropriately trained and understand the participant’s needs and preferences.
For each participant (with their consent or direction and as agreed in their service agreement) links are developed and maintained by the Distil Management through collaboration with other providers, including health care and allied health providers, to share their information, manage risks to them and meet their needs.
This policy is developed, applied, reviewed, and communicated to ensure that each participant experiences a planned and coordinated transition to or from the provider.
A planned transition to or from the provider is facilitated in collaboration with each participant when possible, and this is documented, communicated, and effectively managed using Form23. Transition Plan.
Risks associated with each transition to or from the provider are identified, documented, and responded to.
Processes for transitioning to or from the provider are developed, applied, reviewed, and communicated.
In the case of transitioning a participant, the management team will work with the participant and their supporters to identify the alternative solutions and referrals which meets the requirements of the participant.
For enhancing the transition process, Distil Management will share the participant’s information with the new service provider upon getting consent from the participant. If required, the participant will be introduced to the staff and workers of the new service provider to enhance the transition process.
Thorough guidance will be provided to the participant before exiting to:
Any risk associated with the participant transition will be discussed with the participant and the informed family member and will be documented on the transition plan using Form23. Transition Plan.
Risks associated with each transition to or from the provider are identified, documented, and responded to, including risks associated with temporary transitions from the provider to respond to a risk to the participant, such as a health care risk requiring hospitalisation.
Processes for transitioning to or from the provider (including temporary transitions referred to are developed, applied, reviewed, and communicated.
Before the transition, feedback from the participant or their family members may be obtained for continuous improvement and change management process of Distil Management.
The purpose of this document is to ensure that all staff and workers will be working in a safe workplace and the participants and their families are in a low risk and safe environment.
Distil Management is committed to supporting the health, safety, and welfare of all people we employ and to the participant and people affected by our undertakings.
Distil Management continuously supports improvements in workplace health and safety by adopting a planned systematic approach to Occupational Health and Safety. This approach includes risk management and consultation.
One of our primary commitments is to ensure that everyone in the organization receives appropriate workplace health and safety support.
Business requires a safe work environment to have long-term success and comply with requirements and standards.
None of the workers shall undertake unsafe works and participants should not tolerate any unsafe workplace. Every task that staff and workers are not trained for it shall be reported to the Distil Management Services.
To have a safe environment in Distil Management, all workers shall receive adequate WHS training. In addition, workers need to know about the new roles and responsibilities.
Distil Management management will ensure that everyone in the organization including participants, their families as well as workers and staff are in a safe environment.
Distil Management is committed to ensuring that each participant can easily identify workers engaged to provide the agreed support. Identification could be in the form of a uniform or identification tags or badges. Staff must introduce themselves at the beginning of each service delivery.
Where supports are provided in the participant’s home, work is undertaken with the participant to ensure a safe support delivery environment.
Where relevant, work is undertaken with other providers and services to identify and treat risks, ensure safe environments, and prevent and manage injuries.
Distil Management is committed to reporting all workplace injuries, near misses and illnesses caused by work immediately to the manager and also ensuring that all accidents, hazards and near misses are recorded and reported, and an investigation is carried out to determine possible causes in line with Incident Management Policy and Procedure.
Distil Management shall do a WHS inspection at least once a year for the office using Form63. HSE Inspection Checklist.
Will do a risk assessment during the onboarding process for the client and their home to prevent any damage to their property and themselves using Form33. Participant Disaster and Risk Assessment and Form32. Home Risk Assessment. This will be reviewed once a year at least or upon any changes to their home.
Each participant can easily identify workers who provide support to them.
Work is undertaken with each participant, and others, in settings where supports are provided (including their home), to ensure a safe support delivery environment for them.
Where relevant, work is undertaken with other providers (including health care and allied health providers and providers of other services) to identify and manage risks to participants and to correctly interpret their needs and preferences.
For each participant requiring support with communication, clear arrangements are in place to assist workers who support them to understand their communication needs and how they express emerging health concerns.
To avoid delays in treatments for participants:
Risk assessment has been done and safety risks have been identified and managed using Form01. Risk Register. If there is any chemical kept on the premises, Form35. Hazardous Chemical Register must be completed.
It is the management team’s responsibility to:
It is staff and worker’s responsibility to:
It is the participants’ responsibility to:
Service provision to the participants who behave unsafely may be terminated.
The emergency response plan covers the following items:
It is the management team’s responsibility to ensure that the Emergency response plan is reviewed every year and assembly area(s) are defined in case of evacuation.
All of Distil Management staff will be trained in supporting the participant and their family to utilise non-verbal expressions of pain to express concern or discomfort in the easiest manner possible.
If a participant is non-verbal, the participants support worker will be trained on how to deal with that participant. If there is a change in the participant’s situation, support workers should get approval from the operations manager or their supervisor before taking any action (this may change if it is an emergency, and the participant is unable to consent.)
Providing a smoke-free environment for participants and workers is a primary commitment of the Distil Management. We will ensure that:
Manual handling covers a wide range of activities including lifting, pushing, pulling, holding, throwing, and carrying. It includes repetitive tasks such as packing, typing, assembling, cleaning, sorting, using hand tools, and operating machinery and equipment.
The Management Team identifies work activities that involve manual handling, and which may pose a risk to employees. Risks are evaluated and treated.
The provider has a responsibility to create a safe and healthy environment for every NDIS participant. However, for those participants who are living alone and receiving daily personal activities (registration group 0107) providers must take some additional steps to ensure their health and wellbeing. These activities are as follows:
| Participant Risk Level | Communication with the Participant | ||
|---|---|---|---|
| Feedback | In-person Welfare Check (Minimum) |
Welfare Check via Phone |
|
| Low Risk | Quarterly survey | 3 months to 4 months | Monthly |
| Medium Risk | Quarterly survey | 1 month to 3 months | Fortnightly |
| High Risk | Quarterly survey | 2 weeks to 1 month | Weekly |
For participants who are subject to this requirement, the implementation of the services mentioned in their services will be reviewed every three months by the Operations Manager and should be by someone other than the support workers.
The Operations Manager will supervise and monitor the performance of the support workers through a face-to-face interview at the participant’s home when the support worker is not at home to ensure their performance is consistent with the agreement and the participant’s safety and wellbeing at least every 3 months or when suspicious of any harm to the participant.
The Operations Manager will provide a report to every key personnel regarding the care and skill with which personal support is being provided to the participant by the support worker after every visit to the participants home or if there is any complication in service provision.
The purpose of this policy & procedure is to ensure Participant’s money and property is secure and each participant uses their own money and property as they determine.
Where the provider has access to a participant’s money or other property, processes to ensure that it is managed, protected, and accounted for are developed, applied, reviewed, and communicated. Participants’ money or other property is only used with the consent of the participant and for the purposes intended by the participant.
Participants are not given financial advice or information other than that which would reasonably be required under the participant’s plan.
Participants funds and property can only be used by a person who:
The management of Distil Management shall approve or consult the worker about the informal management of the participant’s fund if the participant is deemed as incapable of managing their fund. For every payment Form37. Money reconciliation records must be completed by the support worker.
A secure space shall be assigned to the onsite participant.
It is the workers’ responsibility to ensure that participants have received the purchased items.
In case of making decisions about expenditures or investments, legal guardians or family members shall be involved.
If required, each participant is supported to access and spend their own money as the participant determines.
The participants who are over 18, shall have an account in a bank under their name. All incomes and payments should be through this account, if applicable.
The participant’s account that is managed by a staff and workers member shall have at least two approved signatures for any withdrawal and receipts for each transaction should be available for further checks.
It is always recommended to implement direct debit for transactions, if possible.
Participants’ amount of money kept on-premises should be the minimum.
Signatories shall be able to identify whether the transaction is genuine or not and is for benefit of participants.
Signatories are encouraged not to sign any blank withdrawal forms under any circumstances.
If workers are directly involved in participant’s fund management, they must follow the following guidelines at all times:
Support Partners are at NO TIME allowed access to a participant’s identification number (PIN) or use an ATM on the participant’s behalf.
Financial assistance may only be offered if it is documented in the participant’s care plan.
If a participant requests financial assistance, and it is not documented in their care plan, staff must contact the Manager for approval.
Transaction receipts must be obtained and given to the participant for the following:
The staff member must be sure to count the money in front of the participant on receipt and return.
Staff must record all financial transactions carried out for participants in Form37. Money reconciliation record (if in use). Records must be documented clearly, accurately, and immediately.
Staff must not accept money or gifts from participants.
If workers are in any role that is related to monitoring participants funds, are responsible for:
The purpose of this policy & procedure is to ensure that each participant requiring medication is confident their provider administers, stores, and monitors the effects of their medication and works to prevent errors or incidents.
Distil Management shall undertake actions to ensure:
Medications will be administered in a hygienic way including washing hands before administration. Should any abnormal reaction occur from the participants to the medications such as any side effects or reactions including, allergies, loss of consciousness, hypoxia or any kind of abnormal reaction will be documented on Form24. Medication Management Form and the worker should notify a health professional or call 000.
Participants’ allergies and sensitivity should always be checked before the administration of medications.
Workers shall ensure that the medications are not contaminated or expired.
Prescribed doctors should be contacted if the workers are not sure about the effects or side effects of medications.
Ensure that medications are provided from the right container that belongs to the participant.
If any error occurred during the process of medication administration including missed or incorrect medication, the worker should immediately contact the Registered Nurse, if not possible to talk to the Nurse, they will contact 000 immediately.
Regardless of the level of medication assistance required, all participants who require medication will need to be documented with a list of current medications on Form24. Medication Management Form, this also includes any medication prescribed by a Health Practitioner or over the counter medications.
Self-administering (participant administers and mangers their own medications)
A participant who can administer medication on their own where appropriate is considered self-administering
The Director may require written information regarding the participant’s competency to self-administer medication around their skills, knowledge and understanding is adequate to be done on their own, this written information can be by the participant, guardian or medical practitioner
Participants who self-administer medication Distil Management will have appropriate supervision for these participants, adequately recorded and documented through Form24. Medication Management Form
Assistant required for participants who are unable to self-administer their medication
Staff who are required to provide medication administration will have the right training to ensure skills, knowledge and understanding is sufficient
Unless the participant rejects assistance, staff members must provide whatever physical or other support is required and appropriate to enable the participant to take their own prescription.
Medicines associated with an increased risk of respiratory depression
Benzodiazepines such as midazolam, diazepam (Valium), and lorazepam
Opioids such as oxycodone, codeine, and fentanyl
Polypharmacy with medicines that compromise kidney or liver function
Psychotropic polypharmacy (two or more medicines that affect the CNS (antipsychotics, antidepressants, sedatives, and anticonvulsants)
Combinations of any of the above increase the risk further and increase the risk of drug-to-drug interactions
All medications should have and follow a prescription including the following information:
Distil Management’s staff and workers shall ensure that there are detailed instructions of the medication by the prescribing doctor. All workers shall adhere to this information and no staff should be involved in a management of medication if it is outside of their skills and qualifications
Distil Management staff and workers shall ensure that all of the participants have a copy of the medication sheet including all information related to their prescription
In case if any of the participants have a history of respiratory depression, they should have current health and medical records that are ready to be taken to hospital should a participant require emergency treatment. This allows doctors and hospital staff to identify current medicines and potential medicine-related adverse events. The participant can obtain their medication history from their regular pharmacy and request a new copy when there is a medication change.
All medications are stored based on the manufacturer’s instructions.
All medications shall be stored securely.
Medications that require to be stored in the fridge shall be in a lockable container in the fridge.
Medications shall not be opened if not necessary because they might become ineffective if they are exposed to air or light.
Any medication that is expired or no longer required shall be returned to the pharmacy Disposal medications shall not be washed down the sink, flushed down the toilet or thrown away in the rubbish bin.
Sharp disposables should be placed in a locked area, either a room or a drawer.
When medication assistance is provided, staff will check medication script labels to ensure the following principles are adhered to:
After each session of medication management, staff will sign the medication chart, which will contain information regarding the client’s name, date, time, medication name, dosage and person administering.
Where staff note that previous dosages have not been given or that there has been tampering with the dosage packaging then the prescribing doctor should be consulted, and an incident report should be completed.
Medication-related incidents, such as misuse, missed doses, overdose, and medication missing, should be reported through the incident management policies and procedures. A medication incident report must be completed, and the director, family/guardian, pharmacy, and the general practitioner must be notified.
In the event of a medication-related incident, all support staff must follow the following guidelines when administering medication. An incident report must be completed and submitted to Distil Management Services
In the event a participant refuses to take their prescribed medication, staff will report this to Distil Management and complete an incident report using Form04. Incident Report.
In the event a staff member has not administered medication to a participant, this will be classed as missed medication and an incident report will be completed using Form04. Incident Report, this also includes if medication is incorrectly given, labelled or is past its expiry date
In the event that there's a blunder or unfavourable response to the prescribed medication, staff are to contact crisis administrations in the event and follow the advice of emergency services and wait until they arrive if required.
In cases where a participant is self-administering and managing their own medication, the participant is supervised accordingly and documented by Distil Management staff
Should a participant require medication prompting to self-administer, this is documented on Form33. Participant Disaster and Risk Assessment & then documented on Form24. Medication Management Form when prompted at the specific times.
At no time should medication be left unattended where it is freely accessible to a participant or unauthorized persons
At no time will staff administer medications to participants in a way that is for Distil Management convenience and does not address the preference and/or needs of the participant
At no time will staff administer medications to participants in a way that is for Distil Management convenience and does not address the preference and/or needs of the participant At no time will staff administer medication if a participant is objecting informally. This will only be relevant unless there is approved protocol in place
Should any medication not be prescribed to a participant, staff will not administer any medications outside of this such as over the counter medication e.g Panadol.
At Distil Management Team will ensure to review the management of medication policy and procedure annually.
This review will consist of an evaluation of the current practices in place taking into consideration staff, participants and any other relevant personnel feedback during this process.
The management team shall ensure that all workers have attended the required training related to medication handling.
The management team shall ensure that all workers have enough resources for training and assessment related to the medication. For this, Form09. Training Matrix is used to record the provided training related to medication management. If a support worker is not trained in this area Distil Management will provide the required training to them either internally or externally.
Address the concerns of workers related to the medication.
All incidents involving medication are reported, recorded, investigated, and reviewed through Form04. Incident Report.
At no time should medication be given or administered by a participant to another participant
The purpose of this Policy and Procedure is to prevent, control or stop the spread of infections. Infections can spread in any environment. Infection prevention and control is an essential part of care and the responsibility of all workers to provide care to participants. Infection is a disease or illness caused when an organism inside a person multiplies to levels where it causes harm. Organisms that cause infections are called infectious agents and are sometimes referred to as germs. Most are microorganisms (bacteria, viruses, fungi, and parasites).
Infection requires these fundamental items:
There are various kinds of infectious agents, but they are spread in several ways:
Standard precautions are practices applicable to all people which include:
Using Form04. Incident Report clearly identifies what type of incident is being reported, and the corrective actions that will be taken to manage and control such incident
All workers providing a service to participants will have had the applicable training that refers to Infection Management which is reflected on the Workers Handbook
All staff who receive this training will be recorded through Form09. Training Matrix In times a participant is COVID-19 positive, it will need to be reported to NDIS as a reportable incident and Distil Management will follow the procedure from the COVID-19 Response Plan
Hand hygiene is the single most important factor in reducing the spread of infections. It must be done at the right time.
When hand hygiene must be performed:
In addition, you ought to do hand hygiene:
Covering sneezes and coughs prevents people who are infected from dispersing droplets into the air where they can spread to others.
You can assist participants by:
In the below situations gloves shall be worn:
Applicable rules for using gloves:
Face masks are used to protect a care worker’s nose and mouth from exposure to infectious agents. They are used when there is a hazard/risk of:
Applicable rules for using masks:
Protective eyewear is used to protect a care worker’s eyes from exposure to infectious agents. It is used when there is a hazard/risk of:
Applicable rules for using eyewear:
The level of cleaning required to eliminate the spread of infection depends on the objects involved and the risk of contamination.
Promptly managing spills of blood or body substances (e.g., vomit or diarrhea) helps to stop infectious agents from spreading from the environment to people.
Safe food handling is very important for some participants:
Used linen should be handled carefully, to avoid spreading infectious agents into the environment or onto your clothes.
If a resident is being transferred within or between facilities or a participant is being transported, care shall be taken to reduce the risk of spreading infection.
The purpose of this policy & procedure is to ensure that each participant requiring mealtime management receives nutritious meals, and of a texture that is appropriate to their individual needs, and appropriately planned, and prepared in an environment and manner that meets their individual needs and preferences and delivered in a way that is appropriate to their individual needs and ensures that the meals are enjoyable.
Meals and the dining experience are a very significant part of day-to-day life. They play an important role in connecting participants socially and supporting a sense of belonging.
Food can be a powerful social symbol for connecting participants with moods, emotions and rituals related to their identity. Mealtime habits built over time can inspire feelings of comfort and familiarity for the participants. Therefore, an organisation needs to consider a participant’s preferences, religious and cultural backgrounds when providing food and drinks or hosting meals
Distil Management is committed to identifying each participant requiring mealtime management.
Distil Management is committed to making sure that participants have enough nutrition and hydration to maintain life and good health and reduce the risks of malnutrition and dehydration.
Distil Management is committed to making sure that participants have enough to eat and drink to meet their nutrition and hydration needs and to provide the participants with the support they need to eat and drink.
Distil Management is committed to making sure that each participant requiring mealtime management has their individual mealtime management needs assessed by appropriately qualified health practitioners, including by practitioners:
Distil Management assesses needs of all participants and addresses:
Distil Management monitors nutritional and hydration intake to prevent dehydration, weight loss or weight gain.
Distil Management is committed to making sure that participants can choose from suitable and healthy meals, snacks, and drinks. They can also take part in planning their menu.
Distil Management is committed to making sure that with their consent, each participant requiring mealtime management is involved in the assessment and development of their mealtime management plans.
Distil Management is committed to making sure that each worker responsible for providing mealtime management to participants understands the mealtime management needs of those participants and the steps to take if safety incidents occur during meals, such as coughing or choking on food or fluids.
Distil Management is committed to making sure that Distil Management consistently provides participants’ meal and drink preferences and menu selections. They say the menu also meets their medical, cultural, religious, or other needs.
Distil Management is committed to making sure that participants feel their dining experience is comfortable and not rushed. They also feel that any help they need to eat, and drink is readily available and provided in a dignified way.
Distil Management is committed to making sure that each worker responsible for providing mealtime management to participants is trained in preparing and providing safe meals with participants that would reasonably be expected to be enjoyable and proactively managing emerging and chronic health risks related to mealtime difficulties, including how to seek help to manage such risks.
Distil Management is committed to making sure that mealtime management plans for participants are available where mealtime management is provided to them and are easily accessible to workers providing mealtime management to them.
Distil Management is committed to making sure that participants are satisfied that they receive, or are helped to prepare, a variety of well proportioned, quality meals. They say the dining experience supports their quality of life.
Distil Management is committed to making sure that if a participant is hungry or thirsty a member of the workforce will get them something to eat or drink.
Distil Management is committed to making sure that Observations that food and drink are put within the reach of the participants and given in a way that the participant can eat and drink. This may include finger food, cut up or modified meals or thickened drinks, where appropriate.
Distil Management is committed to making sure that effective planning is in place to develop menus with each participant requiring mealtime management to support them to:
Distil Management is committed to making sure that procedures are in place for workers to prepare and provide texture-modified foods and fluids by mealtime management plans for participants and to checking that meals for participants are of the correct texture, as identified in the plans.
Distil Management is committed to making sure that Meals that may be provided to participants requiring mealtime management are stored safely and by health standards, can be easily identified as meals to be provided to particular participants and can be differentiated from meals not to be provided to particular participants.
Nutritious food supports healthy ageing and is essential for optimal participant treatment and recovery. Food also provides a sense of wellbeing and emotional comfort and is an important expression of cultural identity.
Poor nutrition is common and significantly contributes to the burden of disease.
The Better, Safer Care report identified nutrition standards as important to minimise harm and prevent complications, such as malnutrition and dehydration.
Food is more than a vital component to supporting health. Providing food that meets preferences for taste and variety is particularly important for aged care participants.
Sourcing of local and Victorian grown and produced food, where possible, will contribute to the provision of healthy and high-quality food and support local economies.
The result of the annual review is expected to inform new standards to ensure procurement arrangements treat produce favourably, and that general hospital and aged care menus are nutritious, varied and culturally diverse.
When a new participant joins, Distil Management gather information about their food and drink likes and dislikes and their dietary and hydration needs using Form77. Mealtime Management Plan Form and Form78. Nutrition Assessment. This includes any assistance they may require eating or drinking, food allergies and intolerances, medical or clinical requirements relating to food or drink, preferences in terms of when the participant would like their meals served and any religious or cultural needs.
Assessments and plans for mealtime management for each participant must be reviewed annually or by the professional advice of the participant’s practitioner, or more frequently if needs change or difficulty is observed.
Distil Management will not disclose any Confidential Information to any persons who are not employed by Distil Management or Participant unless consent has been obtained.
With their consent, each participant requiring mealtime management is involved in the assessment and development of their mealtime management plans
Staff collaborate with the participant and/or their representative/s to deliver great-tasting, great-quality meals.
Participants’ food and drink preferences are recorded and given or made easily accessible to staff and other relevant parties.
Systems ensure that any alterations to a participant’s dietary choices or needs are recorded and quickly passed on to staff.
Form77. Mealtime Management Plan Forms are updated whenever there is any change in a participant’ dietary requirements or requests. When a change arises, the staff member on shift will update the participant’s care plan.
Participants are invited to participate in planning lunch and dinner menus and Distil Management is flexible about the food Distil Management provides. For example, Distil Management can provide snacks and drinks in between mealtimes for the participants with dementia or other challenges.
If required and with the participant’s consent, an assessment will be conducted for each participant to develop a Form77. Mealtime Management Plan Form by a qualified health practitioner.
A qualified health practitioner will assess the participants if they require meal management.
A Mealtime Management Plan using Form77. Mealtime Management Plan will be developed by the health practitioner in consultation with the participant to guide and utilise the support provided by the Distil Management.
Before healthcare professionals examine, treat or care for any participant, Distil Management must obtain their valid consent using Form18. Participant Information Consent Form through Participant Information Consent section of Information Management Policy & Procedure.
An individualised Form77. Mealtime Management Plan for each participant enables Distil Management to manage the specific meal management.
The participants will be provided with the support of required meal management by one of Distil Management’s workers. In the Form77. Mealtime Management Plan, the requirements of meal management will be documented and checked qualified with a health practitioner.
Any incident or emergency related to the meal including required actions for participant e.g., during meals, such as coughing or choking on food or fluids, is addressed in the Form77. Mealtime Management Plan. In addition, the escalation of any incident or emergency promptly will be identified in Form77. Mealtime Management Plan.
The Form77. Mealtime Management Plan will include the identification of risks including actions and escalations. This will include both Distil Management internal reporting and identified reporting requirements within the service users’ treating team.
The health status of participants will be checked and reviewed regularly by a qualified health practitioner.
All incidents will be recorded and reported as per Incident Management Policy & Procedure.
All complaints will be recorded and reported as per Feedback and Complaints Management Policy & Procedure.
It is Distil Management’s commitment to providing the required equipment as well as appropriate training to the relevant staff to know how to use it.
Distil Management works to increase the appetite of the participant by providing food that is attractively presented and smells and tastes great.
Older adults are at an increased risk of malnutrition if they also live with one of the following:
The following three methods are advised for preventing and treating malnutrition
Foods to Avoid
To achieve this, Distil Management determines the participant’s dietary needs and their preferences as soon as they join us. This information is then shared among staff and with relevant others to ensure the participant receives the appropriate food and drink.
If necessary, the participant’s hydration and dietary needs are discussed with other practitioners in a manner that always maintains the participant’s privacy
All information received from speech pathologists, dietitians, healthcare workers and others is promptly recorded and acted upon by staff.
The system can accommodate all participants’ meal requirements.
Participants are encouraged to take their lunch and dinner in the dining rooms. However, this choice remains with the participant, and it is understood that they may wish to dine elsewhere.
Distil Management believes that the dining experience is important to the participant and their appetites, which is why dining rooms are designed to enrich a participant’s dining experience socially and otherwise. Dining rooms are thus free from clutter and televisions are turned off during mealtimes.
The medical indications, food allergies and dietary intolerances of each participant are recorded on Form77. Mealtime Management Plan Form and Form78. Nutrition Assessment and considered in the planning of all meals.
Wherever necessary, Distil Management speedily refer to the participant’s specialists for nutritional advice.
Staff receive training about participants’ food and drink needs when they begin with organisation and throughout their time with us.
Finger food, thickened drinks and modified meals are all available should this type of meal be more suitable for a participant’s needs.
Food storage, preparation and ordering systems all operate in full compliance with food safety legislation.
Menus are reviewed to ensure they offer meals of high nutritional value.
When Distil Management the first welcome a participant, Distil Management weigh them. Distil Management then weigh them once a month thereafter. Should a participant gain or lose 2% of their initial weight, a senior member of staff or registered nurse will take the necessary steps based on the participant’s condition and requirements.
Staff apply strategies to prevent malnutrition and dehydration and participant are continuously tested for these conditions.
Staff always endeavour to provide the participant with a meal that is as close to their preferences as possible and work alongside participants to find a suitable solution wherever cultural or religious needs cannot be fully satisfied.
As well as involving the individual participant in the development of their care plan, the plan must incorporate all cultural preferences if the participant is from a diverse background and/or has differing requirements/preferences to another participant, e.g., due to participant’s cultural background, a participant may wish to be given a diet that is not on the standard menu: this should be recorded in the care plan and the staff and workers should be informed. It should then be checked that the participant receives thier preferred diet at mealtimes.
This is important for a participant’s quality of life. It helps to minimise the risk of infections, pressure injuries, anaemia, hypotension, confusion, impaired cognition, decreased wound healing and fractures.
The onset of nutritional problems is often gradual and therefore hard to detect. However, features found in the history and examination may help identify those at risk. People can present with a variety of problems that may be vague or non-specific.
A malnourished state is defined as any of the following:
Implications of poor nutrition
Adults need an average of 6 to 8 cups (1.5 to 2.0 litres) of fluid per day.
Implications of poor hydration
Distil Management can ensure the health and nourishment of their participant:
The following procedure is to be followed to make sure the Nutritional and Hydration needs of participants are met:
Positioning is one of the simplest yet most effective forms of management for people who have swallowing problems. Correct positioning helps to protect the airway from aspiration and helps improve swallowing and breathing efficiency. An Occupational Therapist or Physiotherapist may be involved in helping a person achieve good positioning. Some general principles include:
Swallowing difficulties are common among participants. If a service doesn’t manage
Swallowing problems can lead to death from choking.
Normal age-related changes place older people at risk of experiencing swallowing problems. The risk is increased by pathological changes such as dementia, stroke, functional decline, and the use of medicines. Choking is a medical emergency and can lead to death. Staff initiating appropriate responses to choking can improve outcomes for the participants.
Establish choking risk for participants who have:
Symptoms in conscious participants include:
Participants identified with a choking risk is referred for the specialist assessment using Form79. Nutrition and Swallowing Risk Checklist (for example, a speech pathologist, dietician, and dentist).
Assessment findings and recommendations are documented, communicated across the care team, and implemented.
When a participant presents with acute airway obstruction:
The participant should be continually observed because the airway obstruction may progress to complete obstruction within a few seconds. A complete obstruction is indicated if:
Respond immediately to the choking episode as per below order:
Following a choking incident, the relevant Manager or the associated RN will:
Implement an individualised risk reduction and prevention plan.
Risk minimisation strategies for the participant at risk of choking may include:
Communicate changes related to:
Always make sure the Mealtime management intervention plan recommended by a speech pathologist is used to guide older participants so they can eat, drink, and take their medicine without any risk.
If you observe any unusual behaviour like coughing, choking, wet throat, or an inability to swallow, that participant must temporarily stop eating and drinking until a speech pathologist is consulted.
Participants, their families, and all staff should be aware of any risks and interventions involved. Let them know about the type of diet prescribed for a participant and the reason behind it.
Unless there is a medical reason not to give participants water with their food. Staying hydrated will help their recovery and will make it easier to swallow food.
Urge participants to have their diet recommended by the speech pathologist or dietician.
Make sure that every participant gets the right meal for them.
Help participant to:
Work with families and carers and teach them how to assist participants during their meals to reduce complications when swallowing food.
Support participant who doesn’t feel like eating to eat frequent small meals and urge them to stay healthy.
Taste is essential to the swallowing reflex. Inquire and find out if the participant is enjoying their food and whether they have lost taste in their mouths. If a participant has lost taste, they should still be encouraged to eat their food.
Food poisoning is frequently caused by bacteria from foods that have been incorrectly stored, prepared, handled or cooked. Food contaminated with food poisoning bacteria may look, smell, and taste normal. If food is not stored properly, the bacteria in it can multiply to dangerous levels.
Food poisoning bacteria grow and multiply fastest in the temperature danger zone between 5 °C and 60 °C. It is important to keep high-risk food out of this temperature zone.
Food poisoning bacteria can grow and multiply on some types of food more easily than others. High-risk foods include:
Food that comes in packages, cans and jars can become high-risk foods once opened, and should be handled and stored correctly.
Your fridge temperature should be at 5 °C or below. The freezer temperature should be below -15 °C. Use a thermometer to check the temperature in your fridge.
When shopping, buy chilled and frozen foods at the end of your trip and take them home to the store as quickly as possible. On hot days or for trips longer than 30 minutes, try to take an insulated cooler bag or ice pack to keep frozen foods cold. Keep hot and cold foods separate while you take them home.
When you arrive home, put chilled and frozen foods into the fridge or freezer immediately. Make sure foods stored in the freezer are frozen hard.
When you have cooked food and want to cool it:
Food poisoning bacteria can grow in frozen food while it is thawing, so avoid thawing frozen food in the temperature danger zone. Keep defrosted food in the fridge until it is ready to be cooked. If using a microwave oven to defrost food, cook it immediately after defrosting.
As a general rule, avoid refreezing thawed food. Food that is frozen a second time is likely to have higher levels of food poisoning bacteria. The risk depends on the condition of the food when frozen, and how the food is handled between thawing and refreezing. Raw food should never be refrozen once thawed.
Raw food and cooked food should be stored separately in the fridge. Bacteria from raw food can contaminate cold cooked food, and the bacteria can multiply to dangerous levels if the food is not cooked thoroughly again.
Always store raw food in sealed or covered containers at the bottom of the fridge. Keep raw foods below cooked foods, to avoid liquid such as meat juices dripping down and contaminating the cooked food.
Make sure your food storage containers are clean and in good condition, and only use them for storing food. Cover them with tight-fitting lids, foil, or plastic film to minimise potential contamination. Transfer the contents of opened cans into suitable containers.
Throw out high-risk food left in the temperature danger zone for more than 4 hours - don't put it in the fridge and don't keep it for later. Check the use-by dates on food products and discard out-of-date food. If you are uncertain of the use-by date, throw it out.
Safe food handling is very important for some participants:
A health practitioner and workers will monitor, review update and oversee Form77. Mealtime Management Plan regularly. The health professional will decide about the regularity of Form77.
Mealtime Management Plan revision and Distil Management will support it.
Form77. Mealtime Management Plan will be reviewed if there is any change in the participants’ needs like any incidents or emergencies.
Reports will be provided about Form77. Mealtime Management Plan based on a regular monitor by the workers as the following:
For the provision of Mealtime Management Plan services to the participants, stored safely of food, Distil Management will provide all workers with the specifically required training.
Training plans will be developed and delivered by an appropriately qualified health practitioner or person that meets the high-intensity support skills descriptor for meal management using Form09. Training Matrix and through Human Resource Management Policy & Procedure.
A qualified trainer will train the support workers with all clients specific Mealtime Management Plan management training.
The service users’ needs and expectations, as well as the type of meal management, will be addressed in the training to cover any support requirements of the participant.
Training and management support plans will detail how to manage any incidents or emergencies including the development of an emergency management plan covering emergencies such as constipation, rectal bleeding, perforation, infections or autonomic dysreflexia.
Also, the training plan will include the identification of risks including actions and escalations such as coughing or choking on food or fluids or chronic health risks (such as swallowing difficulties, diabetes, anaphylaxis, food allergies, obesity or being underweight)—
Records of induction, Mandatory Checks, training, and organisational and professional development provided to all workers will be kept on each worker’s record and on Form09. Training Matrix or the Worker’s file.
The workers will be notified by the Management Team to complete their refresher training in these areas regularly and keep track of the workers training currency through Form09. Training Matrix form.
Meal management training will be provided by the Annual Training Schedule, maintained by the Management Team.
An ongoing opportunity for meal management training and development of workers will be provided by Distil Management that enhance and extend their capabilities as well as providing them with the chance of advancement in their organisation.
Every worker and Management Team member would be able to have the opportunity to participate in meal management training and development activities.
On-the-job training, internal or external courses, support for research and fieldwork, conference and seminar attendance, networking, and mentoring programs relevant to meal management are available to workers as a part of training and development methods.
Performance Reviews will motivate workers to play an active role in their ongoing improvement by identifying their training and development needs in consultation with their manager using Form10. Worker Performance Assessment.
A health practitioner who has been deemed competent will undertake the competency assessment for all workers.
Training will relate specifically to the service users’ needs, type of meal management and cover any specific support requirements the service user may require.
All practitioners will have a working knowledge of relevant current legislation, national guidelines, organisational policies, and procedures via using the Participant Handbook.
Communication with each participant and the provision of support that is responsive to their needs is provided in the language, mode of communication and terms that the participant is most likely to understand. Where necessary, staff members should provide participants with advocates or interpreters. Interpreters would be available as below:
The Translating and Interpreting Service (TIS National) is an interpreting service provided by the Department of Home Affairs. https://www.tisnational.gov.au/