Individual Support, Ageing and Disability - Draft 1

CHC43021_Certificate IV in Ageing Support_Consultation Draft 1

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Qualification description & entry requirements

QUALIFICATION CODE

CHC43021

QUALIFICATION TITLE

Certificate IV in Ageing Support

QUALIFICATION DESCRIPTION

This qualification reflects the role of individuals who work under supervision to complete key tasks and functions in aged services; either in residential, home or community-based environments. Workers will take responsibility for their own outputs within defined organisational guidelines and maintain quality service delivery, working as a part of a multi-disciplinary team.

 

Workers may be required to demonstrate leadership and have limited responsibility for the organisation and the quantity and quality of outputs of others within limited parameters.

 

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

ENTRY REQUIREMENTS

CHC33021 Certificate III in Individual Support

Or

CHC33015 Certificate III in Individual Support

 

8 Comments

Overall Comments

"This unit needs to be re-focused in line with the findings of the Aged Care Royal Commission Final Report. There needs to be core units that enable people to: • Utilise supported decision making • Understand what restrictive practices are, including chemical and physical restraint, and practices to put in place instead of these • Enable older people to retain skills and regain skills (reablement approach) • The importance of social/emotional connection, social supports and what quality of life is • Understanding ageism and other forms of discrimination and reflecting on their own pre-conceived ideas and stereotypes and how this can impact on the way they deliver care • Understanding other services that are available to older people including advocacy services • Delivering culturally safe and trauma informed care. There are many diversity groups that have experienced life long discrimination and abuse that will require care service to be delivered in a way that recognises and supports the person who has had these experiences. (See also Recommendation 30 in the Aged care Royal Commission in to Quality and Safety Final Report) • Oral health is another key area that must be part of a core unit of competency for the Certificate in Ageing. Poor oral health has a huge impact on general health and people’s ability to eat. In the Final Report of the Aged care Royal Commission, Recommendation 79, Commissioner Briggs states: “I recommend that the Aged Care Services Industry Reference Committee should consider whether to make the following units of competency core competencies as part of its first review of the contents of both Certificate III and Certificate IV course for individual support and for home care workers: • personal care modules, including trauma-informed care, cultural safety, physical health status mental health, wound care, oral health, palliative care, falls prevention, first aid, monitoring medication and dysphagia management • quality of life and wellbeing, including the use of technology, interventions for older people at risk and recognising and responding to crisis situations” Another key area absent from this Certificate is understanding that older people are still sexual beings with the need to be able to continue expressing their sexuality and to be sexually active. This follows on from the dot point above about understanding stereotypes. People go into aged care thinking older people are asexual and have no intimacy needs. Of course, this needs to be balanced with understanding when behaviour can be sexually inappropriate but currently all sexual behaviour is seen as “problematic” rather than respecting people’s rights to continue to enjoy express their sexuality be it intercourse or sexual intimacy. "

Samantha Edmonds 12.03.2021 01.00PM

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Pre-requisite units

"We are a private RTO delivering aged care training. We deliver training face to face at the facility and undertake on and off the job training and assessment. I agree with the comments that the RTO if funded to do this and the aged care educators do not have the time to undertake all these assessments. Most of our workers are existing workers and for this reason we deliver Cert IV Ageing Support. Most workers already have a Cert III. I think if we are going to have pre-requisites, the pre-requisite should be a Cert III in Health and Community Services and not CHC33015. Many workers have an older Cert III and many years of experience and would be quite capable of undertaking a Cert IV Ageing Support. I also agree with comments that students need an acceptable level of LLN as a pre-requisite to undertake this training. "

Carla Unicomb 03.03.2021 09.23AM

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For all assessment criteria

"Consider adding a strict requirements to all core units to include 'on-site assessment by the RTO's trainer who physically visits and observes the candidate in a real workplace'. This doesn't mean that all aspects need to be assessed on-site, or that simulation is not permitted, but it ensures all providers actually send an assessor to see the student which many do not purely for cost cutting reasons. Site visits are essential to the candidate's professional development and continual improvement. I believe very similar rules have been introduced in early childhood, SAEC and education support courses (yet to be confirmed at the time of writing this). Note that the assessment criteria needs to be very strongly worded as some RTOs will use any lackadaisical wording to claim a site visit is not legally required, and the regulator will have no choice (as is often the current case) but to agree."

Adam Green 16.02.2021 04.30PM

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1 Reply

"Agree"

Cheryl Durston 17.02.2021 06.35AM

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No cross-over of units from the Cert3

"I'm happy that the Cert 4 has 10 units of comp, and that there are no cross-overs from the cert 3. Good thinking."

Zac Hitchcock 16.02.2021 02.19PM

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2 Replies

"I agree, makes the qualification a stand alone"

Jane-Ellen Mountford 03.03.2021 03.26PM

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"Agreed, and having cert III as a pre requisite means that you are teaching established workers to a higher role level"

Karen Voce 12.03.2021 04.30PM

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Entry Requirements

"Excellent to see that a career pathway in learning has been established here. This could also be supported by 'current employment' or XYZ years of experience"

Cheryl Reid 16.02.2021 08.49AM

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Packaging rules

PACKAGING RULES

10 units must be completed:

 

  • 6 core units
  • 4 elective units, consisting of:
    • at least 3 units from the electives listed below
    • up to 1 unit from the electives listed below, or any other current endorsed Training Package or accredited course.

 

The units selected must be relevant to the work outcome.

1 Comments

"Strongly agree with having Cert III as a pre-requisite"

Karen Voce 12.03.2021 04.32PM

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Core units

CORE UNITS

 

 

 

 

 

 

 

 

 

 

 

CHCAGE009

Provide services for older people

CHCAGE010

Implement interventions with older people to reduce risk

CHCAGE011

Provide support to people living with dementia

CHCCCS006

Facilitate individual service planning and delivery

CHCPAL003

Deliver care services using a palliative approach

HLTWHS003

Maintain work health and safety

 

3 Comments

Elective Units

"Palliative Care Australia (PCA) strongly supports the inclusion of CHCCCS017 Provide loss and grief support as an elective unit for this qualification. This will provide staff with the skills to support care recipients and families, refer them to appropriate services and manage their own self-care."

Katie Snell 10.03.2021 03.33PM

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Job Position

"Interesting qualification. No longer aimed at a semi managerial role, but as a senior worker. Hopefully one that will be supported in the workplace by duties and wages"

Cheryl Reid 16.02.2021 08.52AM

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1 Reply

"I am still unclear why there is the development of so many extra units, but the Cert III is still 13 units. With only two Group C units to augment this course. The basics are still not quite there I believe"

rose cerra 16.02.2021 02.12PM

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ELECTIVE UNITS

 

CHCAGE008

Implement falls prevention strategies

CHCAGE012

Provide food services

CHCADV001

Facilitate the interests and rights of clients

CHCAOD001

Work in an alcohol and other drugs context

CHCCCS001

Address the needs of people with chronic disease

CHCCCS007

Develop and implement service programs

CHCCCS010

Maintain a high standard of service

CHCCCS017

Provide loss and grief support

CHCCCS019

Recognise and respond to crisis situations

CHCCCS033

Respond to suspected abuse

CHCCCS034

Facilitate independent travel

CHCCCS036

Support relationships with carer and family

CHCCCS039

Coordinate and monitor home based support

CHCCOM002

Use communication to build relationships

CHCDIS014

Assist with communication using augmentative and alternative communication methods

CHCDIS015

Develop and implement strategies for communication using augmentative and alternative communication systems

CHCDIS018

Facilitate community participation and social inclusion

CHCDIS019

Facilitate ongoing skills development using a person-centred approach

CHCDIS020

Provide person-centred services to people with disability with complex needs

CHCDIV002

Promote Aboriginal and/or Torres Strait Islander cultural safety

CHCDIV003

Manage and promote diversity

CHCINM001

Meet statutory and organisation information requirements

CHCLEG003

Manage legal and ethical compliance

CHCMGT002

Manage partnership agreements with services providers

CHCMGT006

Coordinate client directed services

CHCMHS001

Work with people with mental health issues

CHCPAL004

Plan for and provide care services using a palliative approach

CHCPAS001

Plan for the provision of pastoral and spiritual care

CHCPRP001

Develop and maintain networks and collaborative partnerships

HLTAAP002

Confirm physical health status

HLTAHA013

Provide support in dysphagia management

HLTAHA018

Assist with planning and evaluating meals and menus to meet recommended dietary guidelines

HLTAHA019

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

HLTAHA021

Assist with screening and implementation of therapeutic diets

HLTAID011

Provide First Aid

HLTAID014

Provide Advanced First Aid

HLTFSE001

Follow basic food safety practices

HLTHPS006

Assist clients with medication

HLTHPS007

Administer and monitor medications

HLTOHC003

Apply and manage use of basic oral health products

HLTWHS004

Manage work health and safety

BSBLDR402

Lead effective workplace relationships

BSBMGT401

Show leadership in the workplace

 

QUALIFICATION MAPPING INFORMATION

No equivalent qualification.

LINKS

Companion Volume Implementation Guide

8 Comments

HLTAHA013 Provide support in dysphagia management

"This is a vital area of need in aged care. As we swallow 500-700 times a day, those with swallowing problems/Dysphagia need to be identified immediately and often this falls to the carer who is 'on the ground' with feeding. Appropriate education is essential. "

Barbara Braithwaite 13.03.2021 11.36AM

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Core Units

"Palliative Care Australia (PCA) strongly supports the inclusion of CHCAGE011 Provide support to people living with dementia & CHCPAL003 Deliver care services using a palliative approach as core units for this qualification. With over a third of all deaths in Australia occurring in residential aged care is it essential that staff working in aged care are suitably trained to meet increasing palliative care needs. Also, as people continue to show a preference for staying at home for as long as possible as they age, it is also essential that staff working in home care are suitably trained in palliative care. The inclusion of CHCPAL003 will ensure aged care staff can care for people with a life limiting illness whose needs are relatively straightforward and know when to refer when needs are complex. Additionally, many people living with dementia struggle to access palliative care that appropriately responds to their needs and respects their wishes. The inclusion of CHCAGE011 will ensure that staff will be able to assess symptoms such as pain and distress, and appropriately respond and care for people with dementia. This also supports the recommendations of the Royal Commission that staff undertake dementia and palliative care training."

Katie Snell 10.03.2021 03.32PM

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CHCAGE008 Implement falls prevention strategies

"Unit CHCAGE008 Implement falls prevention strategies provides a suitable progression of the prerequisite unit CHCAGE007 Recognise and report risk of falls. Similar to Injury Matters’ feedback for the CHC33021 Certificate III in Individual Support, it is strongly recommended that CHCAGE008 Implement falls prevention strategies be incorporated into the Certificate IV in Ageing Support qualification as a core unit. In 2019, falls were the 10th leading cause of death among individuals aged 85-94 years and the 8th leading cause of death among individuals aged 95 years and over in Australia (Australian Bureau of Statistics, 2020). Individuals with this qualification have an important role in providing direct care and supporting the independence of ageing clients. It’s essential that individuals completing this qualification develop knowledge around age-related health issues and develop skills in managing these. The personal nature of this work with the ageing population presents a valuable opportunity for early intervention and prevention of falls through implementing evidence-based falls prevention strategies. "

Joanna Collins 09.03.2021 05.37PM

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CHCMGT002: Manage partnership agreements with services providers

"The clinical management of HIV can only be conducted by accredited practitioners (s100 prescribers), who are specialists trained in the clinical management of HIV. Personal care workers (PCWs) must be knowledgeable around the processes by which aged care services with people living with HIV (PLHIV) in residential care must initiate and maintain appropriately confidential shared clinical care arrangements between the residential aged care facility doctor and an HIV specialist doctor (s100 practitioner) to ensure appropriate clinical management and treatment of HIV and other chronic health conditions. Multidisciplinary shared care arrangements will also be necessary for the clinical management of other chronic health conditions in PLHIV. All PLHIV experience comorbidity at higher rates than the general population. They also experience a significantly increased number of comorbidities. These considerations should be included in the development of this unit."

Liz Sutherland 04.03.2021 01.50PM

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CHCDIV003: Manage and promote diversity

"Through a community consultation conducted in 2019 by Positive Life NSW about experiences of aged care services, which was undertaken by over 400 people living with HIV (PLHIV) survey respondents, we received a significant number of complaints from ageing PLHIV about personal care workers (PCWs) being poorly trained, rude, unhelpful, having poor communication skills, and in some cases, patronising and disrespectful. We have received reports of discriminatory behaviour by PCWs who have no or limited knowledge of HIV. Some feared they would contract this blood-borne virus (BBV). There were also examples reported of discrimination by PCWs who were homophobic. Acts of discrimination ranged from being ignored, shamed, and silenced, to outright refusals to provide service and receiving payment for services not rendered. Abuse and neglect primarily resulted from ignorance and fear on the part of PCWs about HIV, HIV treatment, and the negligible risk of transmission to staff or other residents. The potential for abuse by PCWs who hold prejudices can be mitigated to some extent by thorough training and the promotion of diversity and acceptance. Education and cultural awareness training about HIV (and co-impacting factors such as gender and sexuality diversity etc.) will be needed to ensure that aged care services and PCWs maintain respectful and non-discriminatory care."

Liz Sutherland 04.03.2021 01.45PM

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Universal infection control, privacy and confidentiality, and polypharmacy

"Positive Life NSW notes that there are no core or elective units that relate to HIV, blood borne viruses (BBVs), or sexually transmissible infections (STIs), nor are there any units relating to universal infection control. “HLTINF001: Comply with infection prevention and control policies and procedures” is a unit of competency in the Individual Support Certificate, but not the Ageing Support Certificate. This seems like an oversight. Certificate IV in Ageing Support needs to address HIV, BBVs, and STIs in both a clinical and person-centred capacity, whether by including the content in “CHCCCS001 Address the needs of people with chronic disease” unit (not ideal) or creating a discrete elective unit for this purpose to be included in the Ageing Support Certificate. Namely, the unit should include knowledge on the clinical management and treatment of HIV, BBVs, and associated chronic health conditions; the transmission risk of HIV and other BBVs in care settings, including an understanding of Treatment as Prevention (TasP) and Undetectable Viral Loads (UVLs); and universal infection control, prevention procedures, and management. Regarding the unit entitled “CHCINM001: Meet statutory and organisation information requirements”, which does not have a draft for consultation published online thus far, we recommend that HIV privacy and confidentiality legislative and clinical policy requirements are included in the unit. Regarding the unit entitled “HLTHPS007: Administer and monitor medications”, which does not have a draft for consultation published online thus far, we recommend that the dangers of polypharmacy, non-adherence to HIV and other medications, electronic prescribing, misuse of prescribed and non-prescribed medications (including illicit drugs) and their relationship to hospital admissions, disability, and premature death be addressed within the competencies of the unit."

Liz Sutherland 04.03.2021 01.41PM

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Cert IV in Ageing Support

"I can see about 6 electives we should be implementing. However, there is only room to choose 4. I agree we need rights, interests of clients, falls, legal and medications. In light of Royal Commission report more units on dementia, palliative care are required. I don't see any elective units relating to dementia such as unmet needs, behaviour support. Maybe some core units could be combined into one unit such as services, individual service planning and risk and more electives could be offered. "

Carla Unicomb 03.03.2021 09.40AM

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CHCADV001 Facilitate the interests and rights of clients

"This unit should be a core unit for every course at every level. Too often the rights and interests of elderly people are dismissed or over ridden. I have yet to see any facility in the 40yrs I have been in the sector that has individual advocacy insitu. We talk about it but it is not in practice in its true meaning, Rights of the elderly are more than the Charter of Rights, in fact a Rights based framework is being discussed now to be included in what we hope will be a new Aged Care Act as a result of the Royal Commission. We need to shift from being a medical mode of culture in RACF's to one of rights based and person centred care."

Cheryl Durston 17.02.2021 06.42AM

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