Certificate III in Ageing Support Draft 1

CHC33019 Certificate III in Ageing Support_Draft 1 Mar

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Qualification description & entry requirements

QUALIFICATION CODE

CHC33019

QUALIFICATION TITLE

Certificate III in Ageing Support

QUALIFICATION DESCRIPTION

This qualification reflects the role of workers in the community and/or residential setting who follow an individualised plan to provide person-centred support to people who may require support due to ageing. Work involves using discretion and judgement in relation to individual support as well as taking responsibility for own outputs. Workers have a range of factual, technical and procedural knowledge, as well as some theoretical knowledge of the concepts and practices required to provide person-centred support.

 

To achieve this qualification, the candidate must have completed at least 120 hours of work as detailed in the Assessment Requirements of the units of competency.

 

No occupational licensing, certification or specific legislative requirements apply to this qualification at the time of publication.

ENTRY REQUIREMENTS

There are no entry requirements for this qualification.

 

43 Comments

CHC33019

"On Behalf of ACCTN The Aged and Community Care Trainers Network ACCTN is a collective of over 60 Community Services Educators and Training Mangers from a cross section of TAFE, private and community RTO’s and industry and peak bodies who are based across Victoria. The ACCTN as a collective do not agree that this qualification should be further developed for the following reasons: • As outlined in the “A matter of care: Australia's aged care workforce strategy” The education and training system, across both vocational education and training and higher education, needs to ensure that graduates have the skills and knowledge that will support safe, quality care. Industry is requiring entry level employees to provide a diverse range of tasks to ageing clients not just with ageing process related issues but a diverse range of care needs due to disability, disease and mental health issues. It requires graduates to work across the whole range of these diverse needs. Therefore returning to an Ageing specific qualification at a Certificate III level is not reflective of Industry requirements for a safe level of consumer directed quality care. • Industry are providing cross support services hence the diverse and broad range of skills that are required. Therefore the qualification needs to reflect essential entry level skills for a PCA to work in both Residential, HACC and with people with a disability. This Qualification proposed endorsement appears to have been triggered from a single strategic action from “A matter of care: Australia's aged care workforce strategy” rather than holistically looking at all the strategic actions and broader industry recommendations. It also does not provide insight or consideration to the impact of moving this project forward to Phase 2, for example the disruption in relation to other qualifications and units for the same workforce roles. • From a training perspective it is very problematic to look at creating a qualification in isolation as it has various implications regarding Credit Transfers, RPL’s, and Career pathways within the Industry Sector. It has the potential to create barriers such as funding and cost issues with students / employees having to hold Dual qualifications to work across the sector. • This qualification has a finite focus - it does not fully address the rural and regional issues it also restricts employment opportunities and will add no benefit to the current industry staff shortages. • Industry are already confused regarding what are the appropriate qualifications for their workforces are - usually looking at the Qualification or unit title as opposed to the unit content. Endorsing this qualification while Certificate III in Individual Support remains endorsed with the same units and employment outcomes just adds to this confusion and Industry compliance issues. • "I do not believe that the current Certificate III in Individual Support should be changed and split into three courses. It will restrict students from being able to work across the sector without additional skill sets. The cost of this would be too expensive for many. Restriction of employment is not a good outcome for students. I would not support this new course. A multi-skilled worker is more beneficial for any organisation. " – Jenny Pitkin (VU &ACCTN member) Recommendations • Not to proceed with a case for endorsement of the Certificate III in Ageing Support • It is our understanding that the Certificate III in Individual Support and 5 other qualifications will be reviewed in the next year and there will be similar issues with the Disability and HACC components. We would therefore recommend that any changes to the Ageing qualifications and units of competency form part of that project. • The existing qualification and packaging rules could be reviewed or adjusted to provide the same outcome for the Ageing stream without creating further complications associated with multiple qualifications. "

Michael Stanley 24.05.2019 05.08PM

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Certificate 3 in ACW - Deliver Course Content and Context

"I have worked in Aged Care, taught and provided placements at TAFE for many years and now manage a community aged care service. I have seen the demise of excellent courses that ran for a 12 month period that provided a range of placement experiences combined with face to face and online learning. These courses provided robust context and content of service delivery in Community and facility based care. Workers were fully prepared to apply for positions and hit the ground with confidence at the completion of their Certificate 3. Any training course needs to have significant underpinning knowledge along with the skills and ability to perform the plethora of tasks required in a diverse workplace. Skills, knowledge and the ability to manage contingencies required in community work as a lone worker has significant differences from working in facility based care. To name one small difference, the provision of general home care in the community. I am not advocating returning to a 12 month course. Perhaps I am, in a different form. The situation of 'deskilling' in this arena has been in the making for at least 15 years. It is not a surprise. Twiddling with the periphery will make no long term gain. We need to to acknowledge that the world of aged care is now a highly skilled area with significant ongoing learning required for new workers in dementia, medication, active respite, consumer directed care, etc. This cannot be achieved with any depth across all required aged care contexts in a training course that is completed in 6 months or less, with minimum hands on experience and competence required. New workers to the field deserve much more and certainly the people that require aged care services do as well. As an adjunct, the training system (and therefore the funding bodies) also need to equip and support learners to apply for jobs, know what key selection criteria are, how to prepare and manage interviews etc. either as part of the course or as an add on. I'm sure these comments have been made by many others. The heart of the matter is to: 1. Acknowledge that the skills, abilities and underpinning knowledge required of a Certificate Worker is higher than a 'true' Certificate 3 qualification. Is the minimum qualification a higher level? 2. That short courses with little hands on experience does not work in the longer term for workers or those we work with. 3. That the requirements of a community/lone worker have significant differences that worker who is facility based. 4. That the context of aged care services has changed dramatically with the advent of Home Care Packages, for profit and not for profit providers, and consumer directed care 5. That the complexity and acuity of supports needed by consumers has significantly increased. I understand that there is a workforce shortage in many areas and I won't start on the hourly amount that workers get paid. Really, as the Aged Care Workforce Strategy Taskforce stated "Ultimately, how we care for our ageing is a powerful reflection on who we are as a Nation". Are we going to continually short change our workers to deliver the care required by not equipping them well? "

Robyn Bodinnar 24.05.2019 04.56PM

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Feedback from LASA on proposed standalone Certificate III in Ageing Support

"Leading Age Services Australia (LASA) is the national peak body representing and supporting providers of age services across residential care, home care, retirement living and seniors housing. Our purpose is to enable a high performing, respected sustainable aged services industry delivering affordable, accessible quality care and services for older Australians. We represent our Members by advocating their views on issues of importance and we support our members by providing information, services, training and events that improve their performance and sustainability. LASA’s membership base is made up of organisations providing care, support and services to older Australians. Our members include not-for-profit, faith based, private and government operated organisations providing age services across residential aged care, home care and retirement living and seniors housing. 57% of our members are not-for-profit, 33% are for profit providers and 10% of our members are government providers. Our diverse membership base provides LASA with ability to speak with credibility and authority on issues of importance to older Australians and the age services industry. As a member of the Aged Care Workforce Council, LASA is committed to informing and supporting the Age Services Sector to implement a workforce strategy that reflects future trends, not just the issues of today.’ A Matter of Care’ refers to the importance of having such a strategy that reflects the evolving expectations of the consumer, (individuals, their families, their carers and their local communities) and ensure that it establishes the foundations for growing and establishing the current and future workforce. When considering the proposed changes to the current Certificate III in Individual Support (Ageing) to a stand-alone Certificate III in Ageing Support, LASA has kept the current and future trends as articulated via our members’ voices, along with learnings from the Royal Commission, central to our response. At this point in time, the Age Services Sector does not have a mandatory qualification. It is only within the Commonwealth Home Support Program that the Australian Government recommends staff who are providing personal care support including assistance with client self-administration of medicine, a Certificate III in aged/community care or equivalent is desirable. This is not reflected in the programs within the Aged Care Act, Home Care Packages and Residential Aged Care, noting that the approved provider has a responsibility to provide appropriately trained and skilled staff. The Sector has expressed concerns about the variance in skills within direct care staff due to the inconsistency of RTO’s practices, relevance of core units and also the choice of electives. To date the sector has dealt with the poor vocational preparation of aged care staff by employing people with the right attitude and personality to care rather than focusing on applicants’ qualifications only. Many aged care providers then teach the skills necessary using the staff’s right values as solid vocational foundation. To relieve providers from providing entry training to staff new to the sector it is critically important for every aged care worker to complete some form of mandatory aged care training of relevant and comprehensive content. This training should be followed by ongoing support through a broad continuous professional development learning program incorporating both practical experience with formalised study. The workforce competency gaps as identified in the A Matter of Care report, referred to personal care workers (PCWs) across all aspects of age services. To our knowledge, it did not differentiate between the skills of PCWs in a Residential facility and the home care environment. These gaps included: • basic care skills, such as hydration and nutrition • specialist knowledge in areas like oral health, diversity, mental health, medication management, dementia and end-of-life care • personal skills such as communication, assisted decision-making, diversional therapy, person-centred care and client relationships • financial skills • supervision, team leadership and people management. LASA Feedback: • Creating a standalone qualification “Standalone and specialised qualification for entry level workers in the aged care sector”. Is the aged care sector being defined as only residential aged care? The aged care workforce moves across all service settings and it is important that they have transferable skills, noting the specialisations each service setting may require. o More than 1.3million people access or use some form of government funded aged care. As noted in ‘A Matter of Care’ the great majority receive home based care and support and relatively few live in RACFs. The number of people using residential care, home care and transition care has increased over the last decade. In 2017-18, 77% of people using aged care services in were not in residential care but using in-home care. Home care has seen the most growth, increasing by 116% between 2008 and 2018, while the number of people using residential care only increased by 16% in this period. o Disadvantage of creating a stand-alone RACF specific course - Defining aged care sector and targeting Ageing Support training only at residential aged care is not reflective of the integrated models of care and services being provided to Older Australians, nor is it responding to the current trends towards home care preferences and the current cohort of people living within Australia’s Residential aged care. In regards to the general cohort of residential aged care facility residents, most fall within two descriptors, having quite progressive dementia and/or needing palliative care support. Furthermore, the proposal to remove the broad Certificate III in Individual Support which allows multiple specialisations will have unintended consequences for providers who operate not only across both Residential and Home Care services for Older Australians, but also for providers who provide services across the continuum for people with a disability as they age. The current Certificate III provided opportunities for staff to be multi skilled to be agile and confident in supporting a variety of client cohorts. In regards to the naming of the qualification, the underlying principle within the aged care reforms and the impending aged care quality standards is consumer and person centred care. We currently have a qualification that actually refers to Individual Support, which recognises the individual. By a simple change in course title we are going back five - ten years where the majority of the community only viewed aged care as Residential care. As a sector and society we have come too far with recognising older individuals who are ageing have the right to be supported to age well, live well and die well in their environments of choice. The Age Services Sector has not been disparaging of the structure of the Certificate III, rather the content that is included and just as importantly excluded in the current core electives. The majority of providers believe that the ability to obtain dual specialisations is a positive move and assist with workforce attraction, retention, upskilling and provides them as a service provider with skilled and competent staff, with a similar benchmark (as they all do the same core units), to respond to their changing clientele. • Qualification description “reflects role of workers in the community &/or Residential setting” Consultation to date has identified the proposed new qualification will only be relevant to staff working within residential aged care settings. Clarification is needed as to whether this is the case. If so, then the reference to community needs to be withdrawn. • Certificate III is entry level and then the goal would be for units from Certificate IV in Ageing Support to be considered after X amount of years’ experience. The intent of the Certificate III is about preparing the worker for entry into personal care activities, whilst being supported by organisation specific training. PCW’s should have the skill set to understand the individual’s care needs, provide the care and support and report factually and promptly to their supervisor. The outcome of this collective learning is that the direct care staff are confident in understanding and performing their duties within their scope of practice and also the importance of following directions and supervision. . • LASA notes that the ASIRC has excluded the following units and as such will be retained as electives. Our comments to this is as follows: o HLTHPS006 Assist clients with medication – LASA recognises the concerns the ASIRC has with the multiple state based jurisdictions, however in considering the outcomes from the Quality and Safety Commission accreditation/ reviews, medication management is a recurring theme. This has also been evidenced in some of the Royal Commission Provider Surveys regarding substandard care. This unit should be included within the Core units, however a review of the assessment practices would need to be implemented. o CHCCCS021 Respond to suspected abuse – feedback from the Age Services Sector is that this unit should be included as a core unit as it is one of many critical aspects that contribute to the provision of safe and personal centred care in all aged care settings. If not, then the content of the other core units that the ASIRC references its presence within will need to be updated and strengthened, noting this would be part of the stage 2 project consultation. o CHCPAL001 Deliver care services using a palliative approach – feedback from the Age Services Sector is that this unit should be part of the core units. This qualification is designed for “workers who follow an individualised plan to provide person-centred support to people who may require support due to ageing”. If our society has a commitment to supporting older Australians to age well, live well and die well in their chosen environments, then all staff who are in the direct care roles should be supported to support older individuals to achieve this. The first aspect of providing this support is to provide a knowledge base with both theoretical understanding and procedural concepts. LASA recognises that the ACIRC has stated that the above units will be consulted on in Phase Two and may then be reconsidered whether they are to be included in the core or the electives. • Units of competency to be included in the new Certificate III in Ageing Support o Feedback from our members regarding the core units is as follows: The inclusion of CHCAGE005 (Provide support to people living with dementia) as a core unit of competency is seen as a positive inclusion and long overdue. Including CHCCS021 (Respond to suspected abuse) as a core unit is important as it is one of many critical aspects that contribute to the provision of safe and personal centred care in all aged care settings. There is currently considerable duplication between a number of core units e.g. Provide individualised support (CHCCS015) and Support independence and wellbeing (CHCCCS023); also there is overlap between Working with diverse people (CHCDIV001) and Work legally and ethically (CHCLEG001). Will the ASIRC review the content in Phase 2 and consider combining into more succinct units which are generic to all areas of aged care? o Feedback from the Sector regarding the elective units varies. In the main, LASA members have identified the need for variation and flexibility within the electives to allow an organisation address their specific service requirements. The Sector values the range of electives but questions if there should be core electives and then a number of additional electives for further organisation/setting specific specialisation. The challenge of course composition being that with greater flexibility comes the potential risk of further skill gaps. Noting that this would potentially increase the number of units from 13 to 15. Preferred electives included:  CHCDIS002 Follow established person-centred behaviour supports (as a follow up to the CHCAGE005)  CHCCCS017 Provide loss and grief support  CHCCCS025 Support relationships with carers and families  CHCCCS021 Respond to suspected abuse (noting the preference is this becomes a core unit)  HLTHPS006 Assist clients with medication (noting the preference is this becomes a core unit)  CHCAGE002 Implement falls prevention strategy  HLTAHA019 Assist with monitoring and modification of meals (addresses nutrition awareness)  CHCMHS001 Work with people with mental health issues  HLTOHC001 Recognise and respond to oral health issues  HLTOHC004 Provide or assist with oral hygiene  HLTAHA019 Assist with monitoring and modification of meals and menu according to individualised plans  BSBCUS301 Deliver and monitor a service to customers Central to whatever units are to be included, and within whichever service settings the proposed qualification will be targeting, is the philosophical imperative that our direct care workers acknowledge, understand and respect that the care and support they are providing to older Australians must reflect the individual’s uniqueness and rights. To ensure the qualification is reflective of the future needs, it would be valuable for the ASIRC to have specific conversations with current and future consumers. Thank you for the opportunity to comment on the proposed changes. "

Kerri Lanchester 24.05.2019 03.03PM

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1 Reply

"Great submission and agree in principle with most points"

Michael Stanley 26.05.2019 12.22AM

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Course Feedback

"I do not believe that the current Certificate III in Individual Support should be changed and split into three courses. It will restrict students from being able to work across the sector without additional skill sets. The cost of this would be too expensive for many. Restriction of employment is not a good outcome for students. I would not support this new unit. A multi-skilled worker is more beneficial for any organisation. "

Jenny Pitkin 24.05.2019 01.15PM

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Qualification description and entry requirements

"Some comment has already been provided about the use of "requiring support due to ageing." Ageing is not, on its own, a reason for support, and this does not acknowledge the complexity of comorbidities that are present in people requiring support at home or in the community. Person-centred versus consumer-centred – Aged Care Quality Standards language, use consumer centred but many organisations are shifting toward person-centred models of care. In addition, residents in aged care facilities, anecdotally, dislike the use of consumer or customer. It is important to acknowledge that there are no entry requirements for study, so learners undertaking level III studies may have low literacy and/or poor English skills. On exiting study, they are only beginning practitioners, and we must consider the limits of what can be expected of them. Just as with CHC33015, industry expectations may not be met by carers with this qualification. "

Georgina Casey 24.05.2019 08.41AM

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Certificate III Ageing Support

"We support the re-packaging of the current units of competency from the Certificate III Individual Support to a stand-alone Certificate III Ageing Support. We see this as a first step in the design of an entry level qualification that better meets the immediate skills and knowledge required of the aged care workforce. Currently work placements exist purely for the purpose of Competency Assessments. We recommend that the scope for work placements be expanded to allow time for a candidate to translate learned theory into practice – though practice. Placement time would need to increase to at least 240 hours to allow the embedding of skills. Entry requirements should include a benchmarked language, literacy and numeracy competency to ensure candidates can fulfil their responsibilities in regards to communication, documentation, and reporting. A minimum timeframe for ‘completion of course’ should be mandated – expanded hours per unit of study. This would serve to lift the quality of education provided by registered training organisations. We look forward to phase II of the review process."

Felicia Lopez 22.05.2019 08.33PM

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Cert 3 in Ageing Support

"In regards to the Core Units, it would be highly beneficial for both Provide First Aid and Assist Clients with Medication to be included as these are core to the role of Care Worker within a Home Care setting. Respond to Suspected Elder Abuse is also a module that I believe needs to be viewed as core as evidenced through the emerging stories currently being identified by the Royal Commission. "

Eugena Knight 22.05.2019 11.50AM

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Qualification Title / Mandatory Work Placement / Skill Set Development

"The title is specific to the industry, individual support was too broad. 120 hours of mandatory work placement is reasonable considering the impact this has on industry. Development of a Certificate II Community Services skill set so that students have an understanding of the industry and the specialisation pathways."

Claire Roach 21.05.2019 02.08PM

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Qualification description

""...who may require support due to ageing." Why "may"? Surely this is the defined clientele? I query whether "ageing" is of itself a reason for needing support. For example, there are many people living with dementia, receiving in-home/community support, who are in their 60s and 70s. There are also many older people with disabilities receiving support through the Aged Care system. This proposed "stand alone" qualification seems to reflect assumptions about the future shape of the workforce, without considering the variety of person-centred care/support needs. "

Lynda Henderson 15.05.2019 10.22AM

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Nutrition knowledge and skills of aged care workers and foodservice staff

"Older people have unique nutrition needs, so it is important that the aged care workforce has good quality training that encompasses the basics of nutrition and hydration for the elderly. Currently, aged care staff with vocational education training may have completed Certificate III in Individual Support or Certificate IV in Ageing Support level courses without studying any food or nutrition component. This impacts on quality of care when personal care workers assisting aged care clients in the community with grocery shopping and meal preparation do not have a basic understanding of the food and nutrition needs of the elderly. Likewise, it compromises quality of care when staff working in residential aged care homes have little to no understanding of nutrition requirements and malnutrition risk. In residential care, Australian studies have identified a prevalence of malnutrition from 22% up to 50%. There is a failure in safety and quality systems for the prevention and management of malnutrition in older Australians. Chefs and cooks working in aged care may not have a sound knowledge of ‘therapeutic diets’ or the special dietary needs of people with chronic disease (e.g. diabetes, kidney disease) or food allergies & intolerances (e.g. gluten intolerance). They may be more uncertain when combination diets are required (e.g. dietary requirements for someone with diabetes and gluten intolerance). The outcome for the older person is a meal which lacks the necessary nutrients or includes items which pose a risk of harm. The Dietitians Association of Australia (DAA) considers it vital that Certificate III in Ageing Support includes appropriate nutrition training to ensure all staff working in aged care are competent to meet the nutrition and hydration needs of elderly clients living in the community and residential aged care. "

Vanessa Schuldt 14.05.2019 10.05AM

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Qualification Description - reference to Person Centred Care

"The DoN of our organisation indicates that the industry generally references Consumer Directed Care rather than Person-Centred Care, and that Consumer Directed Care models are being introduced to residential aged care. Should the description reflect this? Also, as this qualification is designed for entry level workers, we suggest the description should make clear that these entry level workers should recognise the limitations of their scope of practice, and understand the importance of following direction and supervision, and the hierarchy of responsibilities within the organisation."

Julie Bertram 14.05.2019 10.02AM

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"Creating this qualification as a clearly identified qualification in the Aged Care pathway is a genuine attempt to reduce confusion related to the previous 'Individual support' naming."

Helen Ryan 11.05.2019 07.07PM

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industry and teaching experience

"I feel coming from industry experience and teaching the unit, it is not just an aged sector we are dealing with moving forward. It includes the younger generations with higher needs not met at home/ hospital setting that do not provide enough support therefore coming into aged care with 24/7 support. Therefore the wording I feel should encompass ageing, consumers with comorbidities as well as end of life stages. I feel 120hours is not sufficient to hone in on skills required to work in the industry but also understand students undertaking over 120hours of non paid work also makes meeting commitments difficult. Palliation and medication administration is also a critical area that is on the rise and demands on AIN/ CSE's/ISW's. Employers/ organisations are always requesting staff to be upskilled with medication administration.I think this unit should be included in the course to allow the students as a whole being able to become competent to look after individuals as a whole "promoting patient centred care"."

Vicki Knee 09.05.2019 07.42PM

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Versatile qualifications are required - think strategically about changes in the whole sector,

"Trying to service people who are ageing and have a disability in a large regional area means that we require people who have a range of skills, experience and exposure - not just limited to one narrow area. Home Care is one of the largest growing sectors. At the end of the end day it is about customer driven, personalised care whether they are ageing or have a disability. Critical areas that need coveringa above the core are Mental health, medications, domestic needs (cooking, ironing, clenaing) support, transporting, using technology and note taking. "

Melissa Bastian 06.05.2019 09.48AM

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1 Reply

"Agree"

Michael Stanley 26.05.2019 12.23AM

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Challenges

"I think its important to remember firstly that Certificate III qualified people are always under the direction of a registered staff member, so there needs to be a limit on the role expectations of professional care workers. Someone suggested an 8 week placement, (like an EN?) and I would be all for extra week however, in QLD where the funding for this course is dismal, and facilities are expecting (and rightly so) an increased presence for placement facilitation, it does come down to the bottom line. I need to eat. So additional incentives for training providers and facilities should be considered if there was an increase in placement duration. I also believe that maybe placement should be attached to CHCCCS011 instead of CHCCCS023. I like the current core structure, but with the addition of CHCAGE001, CHCAGE005 and CHCCCS011, it makes sense. I'd like to see the number of units increase to also include CHCAGE002. Also a unit on emotional intelligence and managing professional boundaries. Teaching someone the 'task' is easy, but I cant teach empathy or kindness, and I am no psychiatrist so I cant tell who is going to end up being a psychopath, plus, don't psychopaths normally hide being a psychopath pretty well. (Although I can sometimes guess ;) So... my suggestion is... 11 core units and 5 elective units with 2 being able to be imported. No HLTHPS006 as an option... or at least entry requirements such as 'must be able to demonstrate a minimum of 12 months of industry experience' (again... they are not clinicians), however the 'assist with medications' could be used as a small 'career' pathway option. If the industry recognised non-clinical pathways, there is so much more that could be done with these qualifications. Currently, the only use I have seen for the Certificate IV in Ageing is home care 'team-leaders'. (but thats isnt to say there isn't a few more out there). I'm really looking forward to the unit reviews, as I don't really like to cluster units, but with this qualification you need to because its like a broken record, same stuff over and over again..."

Zac Hitchcock 04.05.2019 07.57AM

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3 Replies

"Zac, Home and Community Care workers are not under the direct supervision of anyone. They are field workers providing home care services to people in their own homes. Often in very trying conditions. There are family members, animals, squalor, hoarding, drugs and alcohol affected others in the homes at times. They work under very different conditions to a facility or residential home. Yet, this one qualification is meant to provide enough training to get them into the industry. We cannot employ a home carer to provide personal care services without the 2 units relevant to Assist clients with medications."

Christine Odewahn 04.05.2019 05.14PM

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"Direct supervision/indirect supervision in home care is that a staff member is still under the direction and supervision of a clinican regardless. Providers are reluctant to allow students to be placed and signed off on their mandatory workplace assessment for this unit, because as you said Home Care workers generally work independently and an RN/EN need to sign this off."

Zac Hitchcock 04.05.2019 05.43PM

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"Med assist is a nursing delegated task."

Zac Hitchcock 04.05.2019 05.44PM

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Needs Workers Feedback - Actual Ain, personal carers.

"Hi, Reading comments, it is very apparent this is out of touch with what is happening at the front line. I have just registered to comment and there wasn’t even a tab to say (I’m a worker in the field) I’m an assistant nurse with this course. Seriously have a pilot survey and get feedback from assistant nurses. Especially those experienced and well versed in the industry. This feedback is vital otherwise you are simply doing the same thing but different names, course name, unit name etc. What is the name for - doing the same thing but expecting a different result? The workforce for personal care work is Changing - more non-English workers and also those compelled to work as they don’t like what they are seeing in the industry so they get trained to care and try and make a difference. The experienced workers are not valued their input and opinion is not considered and its disappointing that it’s not considered here when reviewing course planning. Cultural awareness and cultural competence needs to be explained and understood at all levels plus implemented in business’s. Aging in place needs to be understood and hence how an assistant nurse can assist to overcome issues when this is in a facility. The issue of oh& safety of workers needs to be re-enforced and implemented and including assertive skills to ensure managers take note of issues. If people want a standard of English, I believe this needs to be implemented with registration of Ain’s The most concerning though in my view is the suggestion of medication assistant in this course. What are the boundaries of that unit? Are you aware the qnmu have a document about delegation of Ain tasks from an RN and also the I ssue that ONLY EN and RN should give meds as they don’t have the medication understanding. Talk to the people and get out of your office so you can make a difference."

Kathryn HeggartyHeggarty 24.04.2019 08.29AM

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Entry Requirements

"It is concerning that there are no entry requirements. It should be envisaged that there should be a standard English speaking and reading requirement as exists in other health professions."

Jackie Hadida 23.04.2019 04.42PM

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5 Replies

"I'm glad to see this comment re English language proficiency specifically for the aged care (and community and disability) sector/s. I wonder if in stage 2 of the project there can be a focus on revising each unit of competency to include specific language skills - e.g. ask for permission, explain a process, ask questions about well-being, engage in casual conversation - and some cultural insight to go with those communication tasks. The way I see it, this is only incidentally addressed by trainers who see the need, and only vaguely required in some UOC descriptions. Effective communication is as the heart of effective care."

Paula Withers 04.05.2019 09.14AM

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"Rather than precluding people from training, it would be better to state that some level of written & spoken English is assumed. "

Lynda Henderson 15.05.2019 10.31AM

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"Increase funding for foundation skills development to allow people the opportunity to strengthen their skills prior to studying Cert III? Create a Cert II Foundation Skills Ageing Support qualification..."

Felicia Lopez 24.05.2019 03.51PM

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"Technically this does exist and forms part of pre training review for any qual. LLN skills are imbedded in the qual and learning and assessment should ensure the LLN skills required are addressed and assessed. In my experience the assessment methods used lack this evidence."

Michael Stanley 26.05.2019 12.29AM

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"Technically this does exist and forms part of pre training review for any qual. LLN skills are imbedded in the qual and learning and assessment should ensure the LLN skills required are addressed and assessed. In my experience the assessment methods used lack this evidence."

Michael Stanley 26.05.2019 12.29AM

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120 hours

"120 hours is a bare minimum. It would be better if they had at least 8 weeks."

Jackie Hadida 23.04.2019 04.34PM

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1 Reply

"Lolz. "

Zac Hitchcock 04.05.2019 07.17AM

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Why make a significant change now?

"Given that we have a Royal Commission underway that may well recommend specific requirements, I’m at a loss to understand why this change is needed at this point in time. The existing Cert III in Individual Support appears to have the packaging almost right. The general Core is OK. These are competencies we should expect all carers to have. The suggested changes move the existing Group A units (the must haves) into the Core units. All other electives are from the existing list of “other electives” We merely need to strengthen the packaging rules. For example, the addition of the Palliative Care unit to the Group A must haves for the certificate to granted as Certificate III in Individual Support (Ageing). This would bring it into line with the other specialities with four units of competence being must haves for each specialisation. The remaining electives could then come from the “new” list as they are already listed in the existing qualification. "

Robert Black 01.04.2019 07.31PM

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3 Replies

"I agree Robert, The units of the new qualification are the same as the existing quals when you combine the Ageing and home care specialisations. What is crazy is they are planning to release the new qualification with out reviewing the units. once approved and implemented they will then review the units. This will lead to confusion about what is current etc. If they plan like other industries to then drip feed the units as they are developed it will be a nightmare. I also want to know what will happen to the individual support qual as it can simply be removed as it currently is the entry level qual for disability and would have to remain intact as a package until a decision is made about changing the disability qualification. There are numerous issues I can foresee with this current approach to changing the package and I am not convinced this will do anything to improve the quality of training or the training outcomes including meeting the current workforce requirements. To my mind this is a knee jerk, quick fix reaction to the outcomes of the workforce task force that seemed to suggest that the training industry is slow to react in meeting the changing needs of the sector. This current approach does nothing to meet that objective other that create the appearance of change by giving a new name to an existing qualification "

Michael Stanley 18.04.2019 11.43AM

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"Totally agree Robert."

Lynda Henderson 15.05.2019 10.25AM

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"Yes Michael. Knee jerk indeed, promoted by LASA. If we are to see major structural changes as a result of the Royal Commission, why pre-empt those? The current Training Package is not yet due for review."

Lynda Henderson 15.05.2019 10.29AM

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summmary comment to a new name and packing of units

"CHC33015 was introduced in speciality mode to allow contextualising of the course to the different sectors and was welcomed. This commenced well but deficiencies in knowledge was soon apparent. The units of delivery did not encompass a component of knowledge for our students to be employed in the community (home) of ageing individuals. Hence the specialities HACC and Aged care must co exist. CHCCCS025 carer and families a very comprehensive unit very necessary covering the needs assessments of individuals. . In addition a disability unit that encompassed communication would also be welcome. CHCCOM005 is very comprehensive(see unit review) The governments initiative to stay at home and the recent increase in funding for level 4 and 5 care requires some attention for our care workers. The legislation has indicated that careers must hold a minimum of a Certificate III if working with over 65 years ,this should apply to ALL sectors of care within the community, residential care and homecare. Volunteers do not have formal training but this could be an area of units of delivery such as HLTWHS002, CHCDIV001 CHCLEG001. There is presently a deficit within the disability sector of carers whose clients are now over 65 and their career’s have no formal training or understanding of the ageing process . The disparity of specialist groups and the legislation that state the carers should have a minimum level of qualification Certificate III should be in ALLl sectors of care in our community. The title individual support is a very important one with the name and indicating “individualise support no matter what age”. The ageing support has been the title name title for the Certificate IV in ageing support and is further knowledge and facilitation applies. My belief is that the first qualification should be about the individual and covers aged care disability and HACC for of the reasons that the specialities was defined. Ageing support introduced at the Certificate IV level where a better understanding and facilitation of care is demanded. We require a minimum qualification for ALL carers in all sectors and INDIVIDUALISED support encompasses all including ageing. The Certificate III entry level to the care sector as it should be presently not legislated a level of knowledge that gives safety both to the career and individual. This is not about speciality but about understanding of the concepts of each sector whether it be disability or ageing in the residential care or home setting. CHCCCS021 for entry is well covered in CHCLEG001, communication within disability is covered in CHCCOM005. HLTHPS006 SHOULD NOT BE INTRODUCED UNTIL AT LEAST THE CAREER HAS SOME UNDERSTANDING OF THE SCOPE AND LIABILITY OF what this unit is about until after some work in the sector. Entry level is about understanding and providing care and reporting what can be observed correctly, factually. No decisions of care are usually made at this level. I do not agree with a course just for ageing. We again are going backwards if we segregate the sectors of care"

suzanne ryan 01.04.2019 05.59PM

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5 Replies

"I'm not aware of any legislative requirement for minimum of a Certificate III if working with over 65 years. Can you direct me to it? Is it a piece of State Legislation?"

Robert Black 01.04.2019 07.02PM

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"Certificate IV in ageing support would be a good entry level for aged care workers to further incorporate the relevant knowledge and skill requirements for working in the industry. The role of the aged care worker has been changing and there have been calls for regulation of this workforce. An important skill for aged care workers would be supporting complex communication needs. This will help aged care workers with working within the new Aged Care Quality Standards requirements, particularly standard 1: Consumer dignity and choice. As mentioned, the palliative care unit could be a core unit rather than an elective. Perhaps also incorporate a core unit that support skill and knowledge development of the social model of dementia care."

Geraldine Teakle 02.04.2019 08.08AM

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"My understanding is that in 2011 there were recommendations put forward and in 2017 an legistlated review of aged care reported on the findings. I am attaching the links. https://agedcare.health.gov.au/sites/g/files/net1426/f/documents/08_2017/legislated_review_of_aged_care_2017.pdf https://www.safetyandquality.gov.au/wp-content/uploads/2011/09/NSQHS-Standards-Sept-2012.pdf"

suzanne ryan 02.04.2019 12.27PM

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"Hi Suzanne. Yes I was aware of these reviews but no formal Legislation requiring minimum quals occurred - only recommendations. I'm hoping the Royal Commission will address this."

Robert Black 02.04.2019 04.03PM

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"I agree Suzanne. It's a very shortsighted view of where the "care" industry is heading."

Lynda Henderson 15.05.2019 10.35AM

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Feedback

"Looking at the list of core units I have no problem with them however palliative care should be included as a core as working with older people this is always possible and being prepared is better than not. What is happening with the special sectors - Home and Community and Disability? Where do they fit in when doing the qualification or will they go back to being separate qualifications. This then limits a person due to the ruling of Skills First and their funding restrictions for a person to be component across all sectors. I would like to see the number of electives increased to 5 or 6 and including these disciplinaries as the electives as previously. It is difficult to have much of a say at this point in not knowing all the detail. It does concern me that yet again no units will be equivalent and therefore needing RPL to gain the upgrade and will the old qual still be recognised. These all need to be considered. Thank you"

Jan Gilchrist 01.04.2019 08.32AM

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3 Replies

"I agree Jan. I think a number of the electives units are critical and agree with increasing the number of electives as part of the packaging rules. Looking at the unit I think the home and Community specialisation has been merged with the old aged care specialisation. Disability does appear to have been removed and will become a standalone qualification?? It will be interesting to see how that works in practice and how easily it will be to provide a transfer of skill. (back to the old days of dual quals). "

Michael Stanley 01.04.2019 08.46AM

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"The increase in number of units will lengthen the course and at entry level to industry to expect new entrants cover more than is offered now and to understand grief and loss and palliation is difficult. Palliative care is covered in personal care CHCCCS011. Some students are also confronted by loss and if we want good carers let them understand the people they are caring who are aging not dying first. I do not believe adding further units is going to improve knowledge and skill but definitely there should be opportunity to have these as upskill and add knowledge skill sets following time in the work place in a formal delivery at a later stage in the work cycle is important. A missing unit that could be offered is oral care HLTOHC001 recognise and respond to oral health issues, a poorly conducted skill in our care sectors. Many of the units commented on are offered in the next skill level Certificate IV ageing support. Of concern to me is the name of the course reverting back to "Aged care" from "Individualised Care" as the we are about person cantered care and why is this different to any care in other sectors. Our careers are to be trained in the AGEING PROCESS so that they may offer person centred approach NOT aged care. As soon as a carer sees the age(a number) there are stereotypical assumptions, the training is about the person, let us keep the title about the person not the age which in this context is approaching ageism in my view. Individual support is what it is, do not change it unless it improves it. A quote that meets the demands here is " Education is what is left after you have forgotten all you were taught" ryan 1996. One can take in so much knowledge lets not overburden the carer but ensure they are the best carer with the knowledge and skills now offered."

suzanne ryan 02.04.2019 01.32PM

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"I'm also concerned about a return to separate qualifications: it will restrict workers from moving across sectors. I can see no justification for there being no equivalence to the current qualification & no arrangements for "transition". In fact, that would create havoc for existing staff wanting to pursue a career. I agree about widening the number of electives, and that it's at CIV level that further specialization is most appropriate."

Lynda Henderson 15.05.2019 10.40AM

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Packaging rules

PACKAGING RULES

13 units must be completed:

 

  • 10 core units
  • 3 elective units from the electives listed below.

 

The selection of electives must be guided by the job outcome sought, local industry requirements and the complexity of skills appropriate to the AQF level of this qualification.

18 Comments

First Aid

"Consideration of an Older Persons First Aid Course (including a mental health first aid component) - either as a prerequisite or an additional core unit. "

Debbie Hawkins 24.05.2019 05.44PM

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Core Units

"Ensure the content of each unit contains a customer service component, or a focus on interacting with the customer in the delivery of the skills learnt."

Debbie Hawkins 24.05.2019 05.42PM

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Packaging Rules

"I agree with the statements above that there should be an increase in core units and elective units to meet the needs of older people in residential and home care to the level that is expected. I know one of the issues for the workforce has been career paths so perhaps a greater mix of electives that enable people to head into the directions they want to go. For example some electives that would enable a person to move towards nursing, other electives for those that are interested in supervisory roles and different electives for those that want to head into allied health. Some of the current electives need to be core competencies."

Samantha Edmonds 24.05.2019 01.49PM

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Packaging Rules feedback

"There should also be an increase in the number of electives introduced to allow a better more rounded mix of skills which can also be tailored to suit the area. For example the diversity and demographics of the area which the training is delivered should be taken into consideration. Those completing a course in rural areas where there is a large demographic of ATSI customer should have this subject included in their course. In Phase 2, perhaps consider the alignment with Cert III Allied Health. I believe this course could be extended in duration to allow for additional electives to be included in this complex and changing industry to ensure the worker is better equipped to support consumers and their needs. "

Stephanie Jones 24.05.2019 11.15AM

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Packaging

"These units are not being mapped to the new Aged Care Quality Standards. In addition, the recent Department of Health directive for reporting of Quality Indicators (pressure injuries, physical restraint and unplanned weight loss) in residential facilities may impact selections for core and elective units in the Certificate. More advice needs to be provided to learners about the value of units selected for their future roles."

Georgina Casey 24.05.2019 08.44AM

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Packaging Rules

"We recommend that elective units are increased from 3 to around 5 to ensure the qualification matches the skill level required of today's workforce."

Felicia Lopez 22.05.2019 08.40PM

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Core Subject criteria

"As this Cert III is for workers in community and/or residential settings there should be a historic overview of the sector to bring context to the growing number of workers in the industry. Knowing where we have come from is imperative ie the state base block funding, to deregulation, to open market and now Consumer Directed Care, providing choice and control in an open market. Additionally language should be carefully chosen, ie align with industry. That is Support Plans, Wellness and Reablement. The need for the Cert III course to have the following topics covered are important including: Supportive Decision Making, Role Valorisation for the worker, Abuse and neglect, Mandatory Reporting, Mindfulness, and Person Centered approaches. Knowing the growth of the ageing population and the need for a strong workforce to support this, I think the course at least needs to have an elective option for workers to understand sole trading setup/business development to support them in developing their career in business in aged care. "

Juliette Spurrett 22.05.2019 09.09AM

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1 Reply

"This is a certificate III level qualification which means the holder is expected to work under supervision. Surely units aimed at starting a business would be better placed in the Certificate IV where independent working is expected."

Karen Seager 22.05.2019 09.20AM

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Core Units/Electives

"15 units of competency to be considered, 11 core and 4 electives"

Claire Roach 21.05.2019 02.16PM

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Training Quality and RTOs

"Our experience of the need to retrain staff post current certificate highlights the variation in and low quality outputs of many RTOs delivering the current competencies. There needs to be stronger focus on monitoring the quality of student outcomes. There needs to be more accountability in the system. Recently qualified staff are coming to us on placement and it is clearly evident they have not attained core competencies. We recommend a governing body is responsible for the assessment component (ie, the RTO does not undertake student Assessment) to ensure accountability and that people - workers and clients - are safe and students are work ready. This will build accountability in the system and ensure quality RTOs are supported to deliver the qualifications. "

Michelle Marinelli 16.05.2019 12.07PM

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Core Subjects

"Core subjects are relevant to the sector and to the range of skills required. Delivery of the units needs to be contextualised to the different service delivery settings, ie, heavily focussed on residential aged care setting; delivery needs to also focus on community setting of CHSP and HCP - delivering services in the home environment and in community. Regarding 'placements' of 120 hours attached to CHCCCS023 - these need to occur in CHSP/HCP settings not just in residential care settings."

Michelle Marinelli 16.05.2019 11.46AM

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Electives

"I believe 3 electives is not sufficient. UoC's such as loss and grief, palliative care, behaviour support, work with diverse people and falls prevention strategies are all relevant to day-to-day personal care in both the community and residential care settings. I think only 3 electives is limiting."

Jodie Davis 01.04.2019 01.43PM

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2 Replies

"Agree. The 3 mentioned electives are all highly relevant as are others and need (somehow) to be core units. The unit: Deliver Care Services until the last iteration was a core unit and is highly relevant for those working in RACFs. Furthermore, the qualification description should read "to provide person-centred support to people who (delete may) require support due to ageing"."

Sara Karacsony 01.04.2019 04.20PM

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"I agree. Thirteen units is not enough to cover the full scope of the role. There are a number of elective units that should be core. I think there needs to be 15 - 18 units altogether."

Stuart Hunter 02.04.2019 12.41PM

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Packaging rules

"3 Electives appears rather limited. To provide the range of skills required the number and expansion in the number of elective units may need to be considered 5 electives wold seem to give a better mix of skills"

Michael Stanley 01.04.2019 07.56AM

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units

"SO no units are allowed to be imported from another training package - limited to only what has been listed"

Jessica Gwynne 01.04.2019 05.14AM

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2 Replies

"We do need to be mindful here that Certificate III is entry level and some comments elude to a possible Certificate IV should be the entry level of which all the units mentioned that should be CORE are core. If we need a work force we will defeat the purpose of offering training to those dedicated to work in the field because they need to complete 13 CORE without flexibility and or possibility of 18 units if Certificate IV required . What about a minimum Core number of units to enter the industry knowing they must return to study electives if their work place wishes. This must be supported by industry. This course is not offering anything further than what is already available and the delivery can include palliative if the pattern of delivery is designed this way. RTO choose the pattern of delivery. Less flexibility may give industry what it requires but we do need a work force . Lets not shoot ourselves in the foot by increasing the demands of the course at the expense of having no one trained or choosing to train. Industry has passively progressed this by employing only those you have or who are working towards a qualification although this cannot be said of the disability sector with people over 65 years being carer for by those without any formal training.. . If the training has not been legislated as minimum entry level to work with over 65 years then lets put our energy there and make it that all persons working and caring for an over 65 years person MUST have a CHC33015 Certificate III Individual support. Following working in the field then have the opportunity offorded all staff by industry to return to study further electives. Students will only retain what they are practising on a daily basis at this level."

suzanne ryan 08.04.2019 02.25PM

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"Agree Suzanne. Further to your point about the disability sector, there is no training requirement for anyone working in the home/community sector (which is why I testified at the Royal Commission hearings into home care.) We need to recognize that people wanting to work in an industry with such unstable/often inadequate working conditions do not need to have to jump through more hoops. I'd like to see more effort/funding put into training for entry level quals but also into recognition of current competencies. People learn best on-the-job. I've been watching as my friend's careworkers, some without formal qualifications, learn about dementia, person-centred care, scope of practice & so much more just by establishing relationships with her & supporting her to live as she wishes."

Lynda Henderson 15.05.2019 10.55AM

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Core units

CORE UNITS

Core Units

CHCAGE001

Facilitate the empowerment of older people

CHCAGE005

Provide support to people living with dementia

CHCCCS011

Meet personal support needs

CHCCCS015

Provide individualised support

CHCCCS023

Support independence and well being

CHCCOM005

Communicate and work in health or community services

CHCDIV001

Work with diverse people

CHCLEG001

Work legally and ethically

HLTAAP001

Recognise healthy body systems

HLTWHS002

Follow safe work practices for direct client care

 

38 Comments

CORE UNITS - include deescalation

"De-escalation strategies would be of great benefit to the workforce. Perhaps this could be embedded into Dementia unit of competency ? (phase ii). Our RTO partner has embedded 'HLTCSD306C Respond effectively to difficult or challenging behaviour' into the Certificate III Individual Support Ageing to fill this current gap."

Felicia Lopez 24.05.2019 03.45PM

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Core Units

"Without knowing what the content of the units is it is hard to make a judgement as to whether or not they are appropriate. Older people are entering with care with far more chronic and complex conditions and therefore surprised that CHCCS001 (address the needs of people with chronic disease) is not included as a core competency. In addition palliative care is a key component for residential aged care and again surprised o see CHCPAL001 (deliver care services using a palliative approach ) is not included. Its great to see the diversity subject as a core unit - this is important for person centred care and is a requirement in the new standards."

Samantha Edmonds 24.05.2019 01.43PM

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Feedback on core units

"HLTHS006 Assist clients with medication should be a core unit, as this is commonly required of staff and is a critical element in the delivery of quality, safe care."

Imogen Herperger 24.05.2019 12.15PM

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Core units feedback for consideration

"I believe HLTINF001 “Comply with infection prevention and control policies and procedures” is a core competency for all workers in the field and again consistent with a clear requirement to demonstrate prevention of infection related risk. This is particularly important for staff operating in a variable environment such as a person’s home. In addition to this, while the course provides training on providing personal care, it does not include training on domestic services or how to assist someone to get safely in and out of a car. Also basics for providing essential services to those living in the community. "

Stephanie Jones 24.05.2019 11.25AM

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Core Units feedback

"We believe CHCDIS002 Follow established person-centred behaviour supports should be included as a core unit. Adopting a behavioural approach to supported management is consistent with best practice as reflected by the new Quality and Safety Standards and the principles of consumer directed care and should be considered as a core unit. It also acknowledges the application of a person centred approach to deliver a mutually agreed outcome is a skill that can and should be obtained. There must also be emphasis on accurate and complete record keeping at point of care. Likewise, the terminology should be changed to “Consumer Directed Care” as per these standards. In addition to this, Core units should include “CHCHCS001 Provide home and community support services” to ensure students are prepared for both environments. There is overwhelming evidence that indicates people are staying home longer and not moving to residential care until later in their life and Government is investing more money into funding home based care programs, which will allow this to increase and continue. In addition to this, those working in a residential environment are more supported with face to face supervision and can more easily be coached and trained on the job than someone working individually in someone’s home with little to no supervision. Why then does this course focus on better equipping those who will work in a residential setting than those who will work in community? It should be the other way around."

Stephanie Jones 24.05.2019 11.03AM

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Feedback Core units Certificate III in Ageing Support

"Eighty percent of people aged over 65 who die in Australia have used at least 1 aged care program and many of whom have an active or progressive disease that is life-limiting (including dementia, chronic obstructive pulmonary disease, chronic heart failure or malignancies). They should be supported to have a high quality of life right to the end of life and staff providing aged care services should be supported with the skills they require to support this population. Palliative Care Australia is of the view that palliative care and grief and bereavement skills are essential for all workers in aged care regardless of their role and therefore should be part of the core units that make up the new Certificate III in Ageing Support. The current electives CHCPAL001 Deliver care services using a palliative approach and CHCCC017 provide loss and grief support, should be part of the re-packaged core units of competency. Palliative Care Australia notes the comment in the 'notes from IRC discussion' section of the consultation guide that 'the variation in job roles and service operation means that these skills are not universally required'. However, palliative care is primarily about quality of life for the person with a life-limiting illness and all aged care staff who interact with consumers have a role to play, therefore these modules should be considered essential. "

Lisa Ralphs 24.05.2019 11.01AM

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FeFeedback to Skills IQ re Core Units in the Cert III in Ageing Support

"Currently, 75% to 85+% of aged care recipients experience hearing loss with potentially serious adverse consequences such as social isolation, depression and increased risk of dementia and falls. Despite the high levels of hearing loss in both home and residential aged care there continues to be widespread under-recognition and under-management of hearing loss. This is, in large part, due to a lack of awareness and training for staff on how to provide hearing assistance. A national Roadmap for Hearing Health lists lifting the quality of hearing health and care in aged care facilities across the country ‘with a particular focus on identification, management and workforce training.’ The Guidance document for the new aged care provider accreditation standards coming into effect 1 July this year lists ‘managing hearing loss’ amongst the eight risks ‘that are more common and have a higher impact on health and well being of consumers’. There are also 21 other specific references to hearing. This is very welcome as hearing loss has clearly been masked by being subsumed within sensory loss in both accreditation and the Certificate III requirements. It is essential that all aged care staff engaged in direct support are equipped to provide satisfactory hearing assistance. Therefore, rather than seeking an elective unit in hearing assistance, it is requested that hearing assistance is adequately and explicitly included in core units: · CHCCCS011 with respect to device management; and · CHCCOM005 regarding effective face-to-face communication tactics and non-verbal considerations. Consideration of these could also be extended to communication with clients suffering from vision loss and dementia. These requests will be detailed in the second phase of feedback later in the year. It had been suggested by other respondents that units CHCCCS011 and CHCCCS015 have overlapping content and should be amalgamated. However, the content of CHCCCS011 is already crowded. Rather than combining these two units, their content could perhaps be reviewed to make space for some new material. To help address the serious lack of awareness and training that currently exists in aged care, the Deafness Forum of Australia (peak national advocacy body for all aspects of deafness and hearing impairment) has developed free training materials. These include online comprehensive pre-service and in-service training and information resources (together with a reference app). These are currently linked to the Companion Volume for the Certificate III in Individual Support (and in the accreditation Guidance for the new standards). To achieve very necessary and long overdue improvement in the provision of hearing assistance throughout aged care it is requested that the Cert III in Ageing Support include clear and specific requirements for satisfactory hearing assistance to clients who need and accept it."

Stephen Wiliamson 24.05.2019 10.15AM

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Core units

"Several commentators point out overlapping content with:  AGE001 and CCS023  CCS011, 015 and 023  DIV001 and LEG001 If units were dropped/blended there is room for inclusion of Provide First Aid (essential for both residential and home support); Implement Falls Prevention Strategies; and Support Relationships with Carers and Families, which is a core requirement for the Home and Community specialisation in CHC33015. Support relationships with carers and families would improve communication skills for carers in both settings including in relation to cultural competence and communicating with supervisors to escalate concerns. Falls prevention is a core issue in aged care and skill in identification of risk and hazard for care staff would be welcomed. Nurses and supervisors in our organisation have raised concerns about documentation and professional boundaries. Additionally, there is an increasing focus on wellness and reablement in aged care. It is important to ensure these issues are addressed in core units."

Georgina Casey 24.05.2019 08.50AM

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core units

"I believe that CHCAGE001 and CHCCCS023 could be combined as there is significant overlap in the concepts"

Sue Harkin 23.05.2019 07.03PM

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overall comment

"This is a fabulous course, with most essentials as core subjects. Well done!"

Klem Hedenig 23.05.2019 03.38PM

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CHCDIV002 Promote Aboriginal and/or Torres Strait Islander cultural safety

"CALD awareness should also be included as learner must have knowledge on how to work with Older People for CALD background especially their cultural needs and as they revert to country of origin as they age"

Renica Adam 23.05.2019 12.31PM

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Core Units

"We strongly recommend that CHCPAL001 Deliver care services using a palliative approach and CHCMHS001 Work with people with mental health issues be included in the core units of study. This recommendation is based on current workforce training needs assessment/feedback. There appears to be a crossover of Elements and Performance Criteria for the following core units: CHCCCS011 and CHCCCS015. Perhaps these could be amalgamated in phase ii. "

Felicia Lopez 22.05.2019 08.45PM

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1 Reply

"I totally agree they should both be core units, staff need to know how to respectfully care for the dying and be able to assist people in the appropriate way with any mental health issue, depression is not the only issue the elderly suffer with. Also as well as CHCCCS011 and CHCCCS015 we should amalgamate CHCAGE001 and CHCCCS023, there is far to much repetitive content in these units."

Julie kramer 23.05.2019 08.09AM

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Core units for Home Care

"For a Home Care Setting both 'Assist clients with medication' and 'Provide First Aid' must be core modules. Without seeing the content of the existing core units it is difficult to know if 'Comply with infection prevention and control policies and procedures' shouldn't also be core or if the basics of infection control are adequately covered elsewhere. I also wonder if given the Royal Commission's focus if 'Respond to suspected abuse' should be a core unit as well."

Kathy Binks 21.05.2019 05.17PM

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Core Units

"Would like to see an additional core unit for HLTAID003 Provide first aid."

Claire Roach 21.05.2019 02.19PM

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A self care unit

"In my lengthy time as a VET teacher, there has never been an obvious unit regarding self care for workers, in any role within the community services sector. This has always been a glaring gap in the package and one which really needs to be included. Workers need to practise self care to sustain themselves in their role[s], organisations need to support workers to do self care and the sector needs to acknowledge and promote the importance of self care if we are to recruit, retain and look after workers."

Tania Daniels 21.05.2019 11.49AM

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CHCCCSO11 Meet Personal Support Needs.

"There is overlap with several units and we feel that this unit should be removed and replaced with the elective unit CHCDISOO2 Follow Established Person Centred Behaviour Supports. This unit covers the areas of dignity, choice and individualised care and without these skills the unmet needs of people in our care cannot be adequately addressed. In the light of the increasing number of aged care residents this should not be overlooked. "

Toni Beeler 20.05.2019 05.46PM

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Provide individual support

"I think there is a need for the student to identify needs with regard to support, behaviors, falls and ADL's and not just provide. they need to consult with families and residents and also develop strategies and not just do they need to have a process to assess and implement "

Denise Hunt 20.05.2019 11.55AM

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Considerations in the development of nutrition training material for Cert III in Ageing Support

"The Dietitians Association of Australia (DAA) considers it vital that the food and nutrition training material developed and delivered as part of the course content for Certificate III in Ageing Support is evidence-based and it aligns with Australian Dietary Guidelines and current nutrition knowledge and practice. Furthermore, DAA considers it important that CORE course content provides participants with clear referral pathways for higher level dietary assessment and management (i.e. referral to an Accredited Practising Dietitian (APD) for the management of food and nutrition related issues experienced by older people. Examples include referrals for malnutrition, dysphagia, food allergy and intolerance, chronic disease like diabetes & heart disease, wounds and falls). DAA will provide feedback on the course content when updates to units of competency are reviewed in Phase Two of the project. "

Vanessa Schuldt 14.05.2019 10.19AM

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Core Units - food, nutrition & hydration competencies

"The Dietitians Association of Australia (DAA) considers it vital to include food, nutrition and hydration competencies (including malnutrition screening) as a CORE component of Certificate III in Ageing Support. As such, DAA applauds the inclusion of: • CORE unit CHCCCS023 (Support Independence and Wellbeing), as this unit includes food, nutrition & hydration knowledge and skills to support physical wellbeing. DAA will provide more direct feedback when updates to units of competency are reviewed in Phase Two of the project. • CORE unit HLTAAP001 (Recognise Healthy Body Systems), which recognises and promotes ways to support healthy functioning of the body. DAA considers it essential that this unit covers malnutrition risk, malnutrition screening and its management given the unacceptably high rates of malnutrition among the elderly in Australia. DAA will advocate for malnutrition knowledge and screening skills when updates to units of competency are reviewed in Phase Two of the project. "

Vanessa Schuldt 14.05.2019 10.11AM

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Core units

"There is significant crossover of performance criteria in the following units: CHCCCS011 Meet personal needs CHCCCS015 Provide individualised support CHCCCS023 Support independence and well being We would suggest not including CHCCCS-15 Provide individualised support as a core unit and replacing it with CHCMHS001 Work with people with mental health issues. "

Julie Bertram 14.05.2019 10.10AM

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"Impacts of mental health in residential and community care environments needs greater focus to inform contemporary care practice. Focussing only on dementia does not adequately address emerging issues related to critical health agenda conditions such as depression and anxiety. Inclusion of a core unit to assist in identification of broader mental health issues and care practice to support better consumer outcomes would go some way to address a gap in this space."

Helen Ryan 11.05.2019 07.16PM

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Core Units

"Having read the comments, it seems the proposed list of core units is rather premature. Given that there are several reasonable suggestions concerning the removal of duplication within current units and even amalgamation of units, should they be adopted, the current proposed list would become irrelevant since some would disappear after rewriting. For example by combining CHCCCS015 and CHCCCS011 the suggested palliative care unit could be included as a core unit. Likewise there is much duplication in CHCCCS023 and CHCDIV001 which could also be combined leaving an opening for a different unit to be elevated to the core competencies."

Karen Seager 09.05.2019 09.40AM

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HLTAID003

"I think providing first aid should be a core subject."

Danielle Green 03.05.2019 04.52PM

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3 Replies

"May I ask why? If a resident was requiring first aid would they not be being attended to be an EN or RN anyway? Or are you thinking CPR? "

Megan Sutton 10.05.2019 12.05PM

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"Those working with people in their own homes should have more than just CPR. They work alone with no nurse cover unlike in residential care."

Karen Seager 13.05.2019 05.30AM

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"Absolutely agreed. We need at least that before anyone comes through our front door! The fact that there's no skills/qualification requirement whatsoever for home/community/support workers chills me to the bone."

Lynda Henderson 15.05.2019 10.59AM

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Core Units

"Perhaps Home and Community Care should be considered separately to residential or facility Cert III. Home & Community Care client needs are escalating. They are staying at home longer, which is where most are happy to be, but their needs are increasing and their care is becoming more complex. Home and Community Carers Core Units should include Assist Clients with Medication - Dementia Care & Palliative Care. Perhaps Work legally and ethically could be combined with Work with diverse people. Communicate and work in health or community could also be combined with legality and ethics. Facilitate the empowerment of older people is the same principle to Support independence and well being. Surely a lot could be combined into more concise units and make room for the future of Home Care. "

Christine Odewahn 03.05.2019 03.56PM

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1 Reply

"Yes. So the process of reviewing the structure before reviewing the units is flawed."

Lynda Henderson 15.05.2019 11.01AM

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Core units

"The 10 units selected as core are the 7 current core units plus the 3 Ageing specialisation units in the current Certificate III in Individual Support. I am not sure what the purpose of the proposed change is. Just to give it a different title is a lot of work for an RTO in code changes, addition to Scope, transition etc to have the same units that are there now. The proposed Certificate III in Ageing Support will be identical to the current Certificate III in Individual Support (Ageing)"

Tarsha Crumpton 03.05.2019 03.49PM

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1 Reply

"Agreed Tarsha, trying to work out what the purpose is at this stage. We would not be making any alterations to our current delivery or elective offerings. I guess the difference is in the title of the Certificate as Ageing Support, rather than (Ageing). Maybe this makes it easier for employers. "

Julie Goodburn 15.05.2019 09.27AM

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Core units

"Further to my previous comments, a reminder that this is a Certificate III level, so these workers will always be supervised. They are not nurses and therefore should not be providing medication. as it is a Certificate III level, I would not include HLFIN001 Comply with infection prevention/control as this should be adequately covered in WHS002. Also i would not include CHCCS021 Respond to Abuse, as again this should be covered adequately in CHCLEG001 Work legally and ethically. "

Glenda Von Wootten 30.04.2019 12.28PM

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2 Replies

"That's true in a facility, however clients who are remaining in their own homes for as long as they choose to and it's safe to do so have escalating needs. Assist clients with medication is a vital unit and should be in the core units - to allow for Cert III home carers to prompt clients from a webster pack, monitor if meds have been taken, know what to do when they find meds on the floor of a clients home. Etc Etc. They are field workers and they need enough training to be equipped to provide quality home care to clients and be trained in the consequences of operating outside the scope of their roles. MORE training and knowledge is needed in Home Care."

Christine Odewahn 03.05.2019 03.50PM

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"Good point. I think this outlines the importance of working within scope of practice. I'm very concerned about the move to "medication competent" PCAs/AINs."

Lynda Henderson 15.05.2019 11.04AM

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Core units

"Firstly as not only a Teacher in this course, I am a Carer for my husband and Managed Community based services for many years. I feel 2 units must be include: They are: 1. CHCAGE002 - implement falls prevention strategies 2. CHCCS025 Support Carers and families i tend to agree with other comments, I would drop AGE001 - Empowerment of Older People, as we cover this across most units already. "

Glenda Von Wootten 30.04.2019 12.21PM

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Core Units

"Would like to see the following as Core Units: Infection Control, Recognizing and Reporting Elder Abuse and Palliative Care"

Jackie Hadida 23.04.2019 04.44PM

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Core Units

"I agree with CHCCCS011 being a core, after all that's a big chunk of the carers job, but I'm on the fence with CHCAGE001 as this is pretty much covered in the other units anyway."

Megan Sutton 17.04.2019 08.25AM

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1 Reply

"I am a little amazed at some comments about what should be included as the core units mentioned in this course CHC33019, as they already form the core and electives in the CHC33015 aged care and home and community care speciality. The training that is presently being offered in NSW. It was a great step forward to allow a course with a core number of units to be provided in CHC33015 and then electives could be chosen to meet the needs of the individual wanting to study giving them a flexibility of choice for the area they wished to work in.eg If a person wished to cover disability , aged care or home and community care they had a choice. The course chc33019 has less flexibility. I see this draft only a name change to “ageing support” which is the name given to an already existing course with the exact same units as being mentioned herein including units that many are advocating HLTAID003, palliative careCHCPAL001 , elder CHCCCS021 carers and families CHCCCS025 . the course exist CHC43015 Certificate IV ageing support 18 units. There are many comments to this effect. Of note is the core unit CHCOM005 communication is offered in the Certificate III Individual support. Many topics that have been put forward as suggestions also are included within the core units. We are working with humans and people of different capability’s and retention of information. It may not make a difference to their work capability no matter what the length of the course or the content . It should also be recognised that a Certificate III is offered at a level of numeracy similar to a year 10 student within the school system in nsw. The Certificate IV course at a year 11-12 allowing that students are at a level of literacy and numeracy to enter university some on a pathway to nursing. I can see the CHC33019 becoming a cumbersome course that does not offer this pathway as university entrance to nursing must be from a minimum certificate IV. I am concerned that this course is not going to offer industry anything further than what is now available.. only confusion. Maybe industry could benefit from a forum to assist them better understand what training organisations are teaching and the actual content of the units so that they can understand what the content of the course their prospective employees are undertaking hence giving them a better ability to select employees with the training they wish in their organisations. I do suggest for those who a really concerned as most of us are to go to www.traing.gov. and add the unit codes given on this forum and review what is contained in the training. I am sure training organisations would very much applaud industry’s input to the actual training as many times the product of the training is not depicting the graduation students as not all are as capable as each other. We want a work force with a pathway to improve with practice and ability to gain increased knowledge at a higher level whilst at the minimum standard able to offer the requirements of the aged care sector. I do not believe this new course is offering more skill or training than exists presently. months"

suzanne ryan 08.05.2019 06.05PM

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ELECTIVE UNITS

 

 

 

Elective units 

CHCDIS002

Follow established person-centred behaviour supports

CHCDIS003

Support community participation and social inclusion

CHCCCS025

Support relationships with carers and families

CHCHCS001

Provide home and community support services

CHCAGE002

Implement falls prevention strategies

CHCCCS001

Address the needs of people with chronic disease

CHCCCS013

Provide basic foot care

CHCCCS017

Provide loss and grief support

CHCCCS021

Respond to suspected abuse

CHCDIS004

Communicate using augmentative and alternative communication strategies

CHCDIV002

Promote Aboriginal and/or Torres Strait Islander cultural safety

CHCGRP001

Support group activities

CHCLAH003

Participate in planning, implementation and monitoring of individual leisure and health programs

CHCMHS001

Work with people with mental health issues

CHCPAL001

Deliver care services using a palliative approach

HLTAHA019

Assist with the monitoring and modification of meals and menus according to individualised plans

HLTAID003

Provide first aid

HLTHPS006

Assist clients with medication

HLTINF001

Comply with infection prevention and control policies and procedures

HLTOHC003

Apply and manage use of basic oral health products

 

QUALIFICATION MAPPING INFORMATION

No equivalent qualification.

LINKS

Companion Volume Implementation Guide

67 Comments

Feedback on packaging of Certificate III in Aging Support

"Thank you for the opportunity to provide feedback on the packaging of the Certificate in Ageing Support. We recommend the following as core units for this Certificate: CHCCCS023 (Support independence and wellbeing) CHCCCS011 (Meet personal support needs) CHCCOM005 (Communicate and work in health or community services) CHAGE005 (Provide support to people with Dementia) CHCLEG001 (Work legally and ethically) HLTAAP001 (Recognise healthy body systems) We recommend the following units as core units, based on duplication of content and feedback from our leaders, delivering care and services: CHCPAL001 (Deliver care and services using a palliative approach) CHCDIS004 (Communicate using augmentative and alternative communication strategies) CHCCC021 (Respond to suspected abuse) SITXCOM003A (Deal with conflict situations) Recommended additional electives: HLTAHA013 (Provide support in Dysphagia Management) An additional priority is the introduction of pre-acceptance screening for numeracy, literacy and computer literacy skills. We are of the view that these are crucial to delivering excellent personal and clinical care and services. Members of the Estia Health People and Culture team welcome being involved in the review of the course content workshops as they emerge."

Mandy Sisson 24.05.2019 05.06PM

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Electives

"Fronditha Care is a not for profit aged care provider providing support and care to the Greek Community. We have four facilities in Melbourne and one in New Castle. We value this opportunity to be able to provide input into the proposed Certificate III Ageing Support to provide graduates with the necessary skills to provide a high standard of support to our frail aged elderly. Aged Care Management including the General Manager were consulted in regards to selecting three electives for the proposed Certificate III in Ageing Support. Our three electives are as follows: CHCDIS002 - Follow established person-centred behaviour support - aged care is geared towards person centred care so this is important. CHCAGE002 Implement falls prevention strategies - falls are an ongoing issue in aged care and with care recipients coming into car with more dependency - falls prevention is vital CHCDIS004 - Communicate using augmentative and alternative communication strategies - with increasing levels of dementia, this would assist in any situation. Other choices were - CHCPAL001, CHCCCS025 & HLTINF001. We now look forward to Phase 2 when we can focus on the content that needs to be reveiwed/included. At present there is a great deal of repetition of content across a number of units i.e., elder abuse. This will be an ideal opportunity to review the content of the units of competency and hopefully reduce the repetition Education Manager - Fronditha Care"

Fleur Limpus 24.05.2019 03.38PM

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""

Jenny Pitkin 24.05.2019 01.57PM

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Electives additional feedback

"Unsure if this is covered in some of the proposed units, but, there should also be units include to support and prepare the worker for this kind of work. There is an increasing amount of customers who are suffering from depression and anxiety, and who have challenging behavious. We need to prepare students for “accidental counselling” and what to then do with this information after the fact. Resilience training and assertiveness is also essential. Those who look to build a career in the care industry are generally speaking, caring, considerate and gentle by nature, however there are times when they need to be gently assertive and encouraging to customers who, without this “push” may have negative health outcomes. Incorporated in this should be “Consumer Direct Care” approach and “Dignity of Risk” and the difference between these and encouragement to a customer to enable better health outcomes and a more fulfilling or healthy life should they want to take up these suggestions. In Phase 2 perhaps, but there needs to be increased focus on the therapeutic nature of this managed support and the professional and personal obligations that come with that. Maintaining professional boundaries in the areas of social support for example are going to become increasingly relevant as recognition and management of all the determinants of health and wellbeing."

Stephanie Jones 24.05.2019 11.13AM

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Elective unit: HLTHPS006 Assist clients with medication

"HLTHPS006 Assist clients with medication – I understand the debate around this subject and the concerns which are raised about this being included or not included however, by not providing any training in this area at all, the students have no foundations on which to build or a general understanding of right and wrong in this area. In addition to this, providing a general overview of clinical VS non clinical would be ideal so student can learn these boundaries and what is in or outside their scope of practice and how to work effectively in a multidisciplinary team. Medication safety should be a core consideration for all staff offering supported management."

Stephanie Jones 24.05.2019 11.01AM

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elective units

"There seems to be confusion around the difference between assisting clients with medications and administering and monitoring medications (a Cert IV unit)."

Georgina Casey 24.05.2019 08.56AM

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CHCCCS002 Assist with movement

"I agree with Julie Goodburn that this unit need to be an option as an elective. It is the most explicit unit covering all aspects of manual handling. Meet Personal suport needs covers some aspects, but only specifies transferring a person between bed and chair. Assist with movement addresses a range of transfer / manual handling situations."

Sue Harkin 23.05.2019 07.12PM

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Core Unit

"I strongly believe that the elective unit CHCCCS021 Respond to suspected abuse should be part of the core content. As an Aged Care Advocate I believe that all workers in the sector should be equipped with knowledge and skills to take action in the event of suspected elder abuse."

Deborah Bolt 23.05.2019 11.17AM

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Elective Units

"We recommend that the following units be included in the elective options: • HLTOHC004 Provide or assist with oral hygiene • HLTOHC001 Recognise and respond to oral health issues • BSBCUS301 Deliver and monitor a service to customers • CHCCCS001 Address the needs of people with chronic disease "

Felicia Lopez 22.05.2019 08.47PM

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CHCCCS002 Assist with Movement

"Am concerned about the removal of the above unit from the electives. It is the most explicit unit covering all aspects of manual handling. Meet Personal suport needs covers some aspects, but only specifies transferring a person between bed and chair. From an auditing perspective we cannot assess other types of manual handling if it is not specified within the unit. "

Julie Goodburn 21.05.2019 02.30PM

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3 Replies

"totally agree with Julie's statement"

Sue Harkin 23.05.2019 07.13PM

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"However, workplaces provide mandatory manual handling for care staff on an annual basis, utilising the equipment actually in use at the person's workplace"

Georgina Casey 24.05.2019 08.54AM

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"True, but students need to be prepared safely for their placement requirements, thereby reducing risk on themselves, other workers and clients. Training of students onsite during placement is not always possible, and are not assessed my accredited assessors, hence ensuring high standards. "

Julie Goodburn 24.05.2019 03.41PM

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""

wendy norton 21.05.2019 12.39PM

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CHCDIS002 Follow established person-centred behaviour supports

" CHCDIS002 Due to the current and increasing number of people with dementia in aged care the ability to meet their needs and minimise incidents of distress and agitation is essential in the delivery of appropriate individualised care. We believe this elective unit CHCDIS002 Follow Established Person-Centred Behaviour Supports should be reclassified as a core unit. "

Toni Beeler 20.05.2019 06.03PM

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Elective units

"After reviewing the information provided with our team of trainers and assessors, we are support the course title change from CHC33015-Certificate III Individual support (Ageing) to CHC33019- Certificate III in Ageing. Our feedback in relation to electives would be to include the following electives: CHCLAH002- Under take leisure and health programming CHCDIS003-Support community participation and social inclusion CHCCSC001- Provide home and community support services "

Susan Tonkin 17.05.2019 11.15AM

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Electives

"The electives for Home and Community specialisation CHCAGE001; CHCCCS025; CHCHCS001; HLTAID003 need to be reflected in the core subjects so students have flexibility to work across settings confidently and competently."

Michelle Marinelli 16.05.2019 11.56AM

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Elective Units - food and nutrition competencies

"The Dietitians Association of Australia (DAA) supports the inclusion of the proposed ELECTIVE units that address (a) food and dietary requirements and (b) issues/conditions requiring nutrition knowledge and skills for Certificate III in Ageing Support. These include: • HLTAHA019 – Assist with the monitoring and modification of meals and menus according to individualised plans. • HLTOHC003 – Apply and manage use of basic oral health products. • CHCCCS001 – Address the needs of people with chronic disease. • CHCLAH003 – Participate in planning, implementation and monitoring of individual leisure and health programs. • CHCAGE002 – Implement falls prevention strategies. • CHCPAL001 – Deliver care services using a palliative approach. In addition to these elective units, DAA recommends extending the offering of ELECTIVE units for Certificate III in Ageing Support to include additional food and nutrition competencies for care staff, support workers and foodservice staff working in residential and community aged care. DAA recommends adding the following elective units to the list of elective units for Certificate III in Ageing Support: • HLTAHA018 - Assist with planning and evaluating meals and menus to meet recommended dietary guidelines (essential for foodservice staff and personal carers who assist in preparing meals for clients). • SITHCCC201 - Produce dishes using basic methods of cookery (essential for foodservice staff and personal carers who assist in preparing meals for clients). • SITHCCC307 - Prepare food to meet special dietary requirements (essential for foodservice staff and personal carers who assist in preparing meals for clients). • CHCAGE006 - Provide food services (essential for foodservice staff). • HLTAHA021 - Assist with screening & implementation of therapeutic diets (essential for all aged care staff, personal carers and foodservice staff). • HLTFSE001 - Follow basic food safety practices (essential for foodservice staff and personal carers who assist in preparing meals for clients). • HLTOHC001 – Recognise and respond to oral health issues (essential for residential aged care staff and personal care workers assisting aged care clients in the community). • HLTAHA013 – Provide support in dysphagia management (essential for residential aged care staff, personal care workers assisting aged care clients in the community and foodservice staff). "

Vanessa Schuldt 14.05.2019 10.15AM

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Elective units

"Other possible elective units: CHCCCS020 Respond effectively to behaviours of concern CHCCCS002 Assist with movement"

Julie Bertram 14.05.2019 10.13AM

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HIV and Aged Care

"I would like to see the inclusion of a new unit of competency that recognises the emerging cohort of people with HIV. People with HIV are now reaching the age where they are looking at their future care options - both in home care and residential facilities. This is a good news story in that people with HIV are living to advanced age. But it comes with a range of concerns that are not currently addressed in any of the currently available units in this training package. Given the level of stigma and discrimination that still surrounds HIV and the people that have it, (largely borne of lack of knowledge, myths and misunderstanding rooted in the past), aged care workers should have specific training in this area. Adding a new unit to the elective list (or preferably to the core unit mix) would go a long way towards addressing this emerging issue before the sector has to deal with significant numbers of clients with HIV."

Karen Seager 09.05.2019 09.57AM

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3 Replies

"CHCCCS001 Address the needs of people with chronic disease"

Megan Sutton 10.05.2019 12.12PM

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"Megan, whilst HIV is often referred to as a chronic illness these days due to better treatments, there are significant differences between HIV and other chronic diseases. HIV and aging is complex and nuanced and therefore should not be lumped together with other chronic diseases borne largely from lifestyle factors and not the result of infection and which have a more predictable prognosis. Not to mention that HIV still has the capacity to attract fear, stigma and discrimination that affect care givers in ways other illness do not."

Karen Seager 13.05.2019 05.44AM

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"Important point, relates also to dementia. It would be a good addition to the electives pool."

Lynda Henderson 15.05.2019 11.07AM

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""

Jude Elvery 08.05.2019 03.56PM

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1 Reply

"jude you will see as a core CHCCOM005 communication in health care a very comphrensive unit in communicating in all aspects of care , cultureally diver behaviours ofc concern. hope this helps please refer to traning.gov for all the elements covered."

suzanne ryan 08.05.2019 05.22PM

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Feedback on propsed changes

"Combine core units CHCCCS011 and CHCCCS015- there has always been a lot of overlap with these units. In order to provide 'personal care' students need a robust understanding re- care plans, assessments etc. Having these topics in the same unit makes sense. CHCPAL001- should be a core unit. Palliative care is such a huge part of the care we give in aged care. Everyone worker entering aged care should have basic training in this area. CHCAGE001 and CHCCCS023- these two units should be combined as the topics are similar and it will reduce the repetition. Very important topics in light of the new Quality Standards in industry from July."

Jill Atkins 08.05.2019 09.24AM

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1 Reply

"I agree with Jill Atkins 100% I would also suggest that CHCCCS002 Assist with movement should be at least an elective"

wendy norton 21.05.2019 12.41PM

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Electives that should be core +

"We have found that, in order to provide affordable and appropriate services we require all PCA staff to have completed HLTHPS006 Assist clients with medication or equivalent + a module that covers behaviour management and keeping themselves safe."

Helen Small 07.05.2019 10.52AM

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3 Replies

"Not possible. I teach this course and OMG the dramas I had trying to get a facility to sign off a student they didn't know from a bar of soap was horrendous. And why would you want a stranger rummaging around in your drugs trolley? Plus, in my opinion, AINS have NO business in a meds trolley anyway. "

Megan Sutton 09.05.2019 07.49AM

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"Scope of practice!"

Lynda Henderson 15.05.2019 11.08AM

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"If this is in a residential facility then all PCAs should NOT be expected to assist with/administer medications as it goes far beyond the training of the skills and knowledge. Delegation of medications requires the staff member to be willing to accept the delegation, will work within their scope of practice and organisational policy, have a good work performance record and have some inherent leadership qualities. As the delegation is under that of the RN on duty, the RN is responsible for the safe and correct administration of medication. In my experience in training care workers in medication administration (since 2005) I have found them to take it very seriously, they are very responsible and compliant with practice. The biggest barrier is a poor attitude however this should be vetted prior to delegation and training. in the event that poor practice and/or attitude is identified then retraining can take place or the rescinding of the competency altogether. Therefore this elective should remain as an elective. "

Toni Beeler 21.05.2019 06.32PM

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Electives that should be core

"CHCAGE002 Implement falls prevention strategies CHCPAL001 Deliver care services using a palliative approach HLTOHC003 Apply and manage use of basic oral health products "

Deborah Parker 05.05.2019 03.08PM

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Core Units

"I'm not sure if this is currently covered in any of the core units, but I find that support workers often lack professional boundaries. This is one thing that is so important in Community Care!"

Ann Young 03.05.2019 04.53PM

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1 Reply

"It is covered in the CHCLEG001, but you are correct. "

Megan Sutton 09.05.2019 07.51AM

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Home Care

"Please consider that people are ageing at home - not in facilities with doctors and nurses and meals prepared and rooms cleaned and clothes washed. they are at home with all the challenges of independent living and escalating care needs. This qualification needs to equip the workforce for the challenges that will be inevitable."

Christine Odewahn 03.05.2019 04.04PM

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Elective Units

"From experience in hiring direct care staff who have recently completed their training in Individualised Support, it's often an arduous process to determine whether the electives they had chosen were enough to make them ready to commence working with clients/consumers (regardless of the certificate) based on our industry expectations (not just our provider expectations). In particular ensuring they had both Recognising Healthy Body Systems (core) AND Assisting with Medication (elective) given the two combined are considered the accredited training to help with Prompting, Assisting and Administering medications. Many didn't realise they hadn't elected the correct units and felt they should be in a position to complete medication services (albeit basic). It is for this reason that I believe Assist with Medication needs to be a Core as well, or the students at least educated about future service provisions and job prospects requiring this. Also, given the CDC model and findings from the current Royal Commission in to Aged Care in relation to lack of choice and control for consumers, I think the proposal of including CHCAGE001 Facilitate the empowerment of older people aligns with the already core CHCCCS023 Support independence and well being. "

Aynsley Johnson 18.04.2019 10.38AM

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5 Replies

"I agree Aynelsy, but in respect to the medication unit the trouble is that as it stands it is difficult to assess in many circumstances such as home care and depending on policies even in residential care. We also need to consider the skill level as a graduate of a cert III. Many would argue that at the completion of a course it is only reasonable to expect a student to have the foundations of skill and time in the job with support will build them to a "practitioner". many argue that the skills and risks associated with the medication unit need to be considered carefully and that at a foundation level may not be appropriate. The flip side to this is that we desperately need a workforce with these skills and there in lies the challenge. "

Michael Stanley 18.04.2019 11.52AM

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"Agree"

Christine Odewahn 03.05.2019 04.06PM

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"I totally agree in regards to "Assisting with Medications". Even if just basic, to ensure that support workers know what they should/ cannot do!!"

Ann Young 03.05.2019 04.55PM

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"Completely disagree with newly qualified staff even touching medications. Again, are we putting too much responsibility on Cert III staff to perform some funtions of the clinicians"

Zac Hitchcock 04.05.2019 07.59AM

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"Agree"

Lynda Henderson 15.05.2019 11.49AM

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Core units

"I like the list of core units am especially pleased to see CHCAGE005 as this is critical."

Annette Smith 16.04.2019 08.58PM

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CHCCCS025

"Agree that this unit is a critical unit given the key role Carers play in the care and decision making in this sector. Thy are also consumers in their own right and worker need to understand the role of cares and their challenges"

Michael Stanley 05.04.2019 08.21AM

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Additional units

"I teach these courses and firmly believe they need to be taught over a year and there needs to be consistency for RTOs as they are all different CHCCCS025 Support relationships with carers and families CHCHCS001 Provide home and community support services CHCAGE002 Implement falls prevention strategies CHCCCS001 Address the needs of people with chronic disease These above units should be core as well as CHCPAL001 and a unit addressing elder abuse this will cover exactly what is needed I would like to see falls addressed also"

Michelle Hay-Chapman 05.04.2019 06.44AM

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3 Replies

"Hey Michelle, in QLD not possble to deliver over a year unfortunately, given the current funding model. But I would like to be able to, i assure you..."

Zac Hitchcock 04.05.2019 08.01AM

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"Michelle, how many core units in total?"

Lynda Henderson 15.05.2019 11.58AM

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"At present there are 7 core units with 6 electives"

Michelle Hay-Chapman 15.05.2019 01.25PM

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re: components of apprenticeship

"The theory needs to be supported by practice and I wonder if it would be reasonable to consider having a client co-design element of assessment to enable carers to understand that engagement is a significant part of the role. Also both palliative care and elder abuse need to be addressed in the core part of the curriculum as they are integral aspects of aged care."

Ramila Varendran 03.04.2019 05.38AM

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2 Replies

"This is a great idea and in some RTOs I have worked in this is what we did to develop both learning and assessment materials"

Michael Stanley 18.04.2019 11.53AM

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"Clients can provide workplace evidence."

Lynda Henderson 15.05.2019 12.00PM

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units require for entrance level of car

"CHCCCS025 and CHCHCS001 are very important units that our carers working in the community and home require. Carers need to know they need looking after as well, Families are important to the care of those ageing. Burn out of families and carers needs to be addressed."

suzanne ryan 02.04.2019 01.34PM

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1 Reply

"Agree these are critical units especially CHCCS025 as families are critical are are having more burden placed on them as the home and community system changes and service workers need the skills to provide to support to them as well as the care recipient. This also applies to Carers/Families involved in residential services as well."

Michael Stanley 02.04.2019 01.42PM

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unit content

"If we want high quality training we need to also consider the content of the units put forward in the first draft. The excessive duplication needs to be reduced, to retain student interest. The units need to give specifications for, not just assessment, but also delivery. Too much is delivered in on-line learning platforms. Students lose then the opportunity to practice and refine even the most basic skills, such as communication. For the same reason, the individual needs unit needs far more significance attached to it. This is an area where significant harm and omission of care can occur without suitable training and understanding of why they are learning skills and consequences of actions, things not easily or appropriately taught in an online environment. After all the qualification is supposed to be designed to work with and for the older person. we need to go back to basics, to much time is spent being concerned about what is meant by models of care etc etc, surely it is far more important that students understand clients needs. A client does not care what model of care they are being supported under, they do care whether they feel respected, supported, safe etc and that they are having their needs met. This is an opportunity we should not miss to provide training that the older person desires and needs of its support workers, rather than what an academic believes that support person should learn"

Fiona Thollar 02.04.2019 01.29PM

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10 Replies

"I totally agree with this. For example, duty of care is covered in a significant number of units, so it's just over teaching and assessing. Also yes, online teaching for aged care really needs to be kept at a minimum. These are level 3 Cert 3 students- many of them struggle with online tasks as they require greater support in class. Also, many students simply do not engage well with the online education- they simply do not learn effectively online. let's face it- this course is to equip at student for a very practical job, where most of their working day is spent performing practical tasks. Therefore the best learning is face-to- face with plenty of practical simulated and placement tasks, where students learn by doing. "

Allison Kenneally 08.04.2019 12.01PM

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"Keep in mind that a this first stage no changes to individual units is being considered as this is part of stage 2. TO my understanding this stage is only looking at the qualification the packaging rules for the qualification"

Michael Stanley 18.04.2019 11.55AM

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"And that is why this is really not going to be effective. Yes, we are asked for what is needed - but only within the limits of what they are prepared to do. If they really want to get it right - ask industry and the clients - don't work backwards from the answer they have determined. I agree wholeheartedly with Allison "

Christine Odewahn 04.05.2019 05.04PM

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"Indeedy. But how to get more employers engaged in workplace learning?"

Lynda Henderson 15.05.2019 12.02PM

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"Indeedy. But how to get more employers engaged in workplace learning?"

Lynda Henderson 15.05.2019 12.02PM

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"Indeedy. But how to get more employers engaged in workplace learning?"

Lynda Henderson 15.05.2019 12.02PM

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"Should we be looking at the social model of care too, along with the medical model when deciding on the units? It would be good to care for older adults in a less institutional environment, but more of a ‘homely’ one. Yep……a learning/mentoring culture in any organisation always has benefits, particularly for individuals being supported"

Geraldine Teakle 15.05.2019 12.49PM

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"The packaging in this new course is less flexible than what is available now. Why change the name . industry should be educated to the present package to read transcripts of what their potential employees have studied . Courses presently 12-13 units level 3 and 18 units level 4 "

suzanne ryan 16.05.2019 05.26PM

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"Ditto "

suzanne ryan 16.05.2019 05.27PM

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"So Right how are individuals able to learn this qualification at a certificate III with so much practical components in each of the units. this qualification needs to be delivered face to face to ensure that all students are able to gain that practical experience and also be assessed by our trainers to ensure that they are able to undertake the task required in the workplace. "

Dee Cooke 17.05.2019 08.52AM

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core units

"I believe palliative should be a core unit "

Maureen Plowman 01.04.2019 12.44PM

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3 Replies

"I also believe Palliative care should be a core unit as it is a significant part of the role of a PCW/PCA. It is extremely important for students to be able to deal with death and dying in a dignified and respectful manner."

Julie kramer 04.04.2019 06.17PM

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"I strongly agree: my local Aged Care industry on Sunshine Coast want this too"

Jude Elvery 08.05.2019 03.54PM

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"Palliative care should be a core unit as students are exposed to people in the final stages of life with little knowledge on what to do"

wendy norton 21.05.2019 12.42PM

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