1800 960 068

Independence and Informed Choice Decision Making

NDIS Practice Standard 1: Rights and Responsibilities #

1.0 Purpose #

iSeekSupport policy is underpinned by international, national and state obligations concerning the human rights of people with disabilities; Article 12 of the United Nations Convention on the Rights of Persons with Disabilities is the critical driver behind supported decision-making.

We wish to support all participants in making informed choices, exercising control, and maximising their independence relating to the supports provided.

Quality decision-making will underpin the long-term effectiveness of participant supports and agreements. It facilitates the achievement of strategic goals, maximises participant involvement, enhances participant outcomes and encourages the wellbeing and productivity of our staff.

2.0 Scope #

This policy applies to all iSeekSupport staff and participants accessing our services.

3.0 Policy #

This policy assumes that each participant has decision-making capacity, unless proven otherwise, and acknowledges that each participant’s capacity varies for each decision and situation. All participants have the dignity of risk to make their own decisions.

In instances where a participant’s decision-making capacity is in doubt, this policy provides direction regarding determining capacity and consent, supporting and facilitating decision-making, and deciding on behalf of the participant, where required.

This policy will eliminate the risk of a participant’s life decisions without their involvement or against their actual or anticipated wishes. Decisions are only to be made with the consent of the participant.

iSeekSupport puts choice and control squarely in the hands of people with disabilities, their families and carers. Our organisation will collaborate with the participant, family, carers and advocates to determine the participant’s capacity.

The manager will designate relevant staff to determine a participant’s capacity through:

  1. Always assuming the participant has the capacity
  2. Never basing capacity assessment on appearances
  3. Identifying the decision to be made.
  4. Assessing the participant’s decision-making ability and not the decision being made – A participant cannot be assessed as lacking capacity simply because they make a decision is thought to be unwise, reckless or wrong.
  5. Using a substitute decision-maker as a last resort
  6. Documenting the process and reasons, as required

iSeekSupport will provide information in an Easy Read format for participants who require this communication style.

4.0 Definitions #

5.0 Procedure #

5.1 Advocate #

iSeekSupport will inform all participants from their first contact with iSeekSupport that they have the right to access an advocate (including an independent advocate) of their choosing. They will be advised that it is their right to have the advocate present at any time that they are in contact with ISeekSupport.

5.2 Decision-making and choice #

During the development of the service agreement and all ongoing interactions with each participant, iSeekSupport staff must:

  • Always assume that the participant has the capacity to undertake decisions
  • Inform the participants, and their advocate, of their options regarding their supports
  • Advise the participants, and their advocate, of any risks to themselves or others regarding their options
  • Consult and collaborate with the participant, and their advocate, by providing current and relevant information to allow the participant to make decisions
  • Allow the participant enough time to absorb and understand all relevant information before and during the decision-making process
  • Provide information in an Easy Read format
  • Assess the participant’s service requirements, against their NDIS plan, to plan and provide proper support and design appropriate strategies with the participant, family and advocate
  • Undertake review meetings where the participant, family and advocates have input
  • Plan with the participant, family and advocates when the participant decides to exit from iSeekSupport.

The development of the support plan incorporates input from participants and their relevant networks. Each support service requires the participant to be part of the decision-making process. iSeekSupport will:

  • Accept all decisions made unless there is a risk to the health and safety of the participant, in these cases, then manager or their delegate will:
  1. Inform the participant that if they wish to continue, it is their choice
  2. Undertake a risk assessment for the support (e.g. Risk Assessment Form – High Risk Activity or Event)
  3. Consult with the participant and their relevant networks about the potential risks
  4. Discuss the participant’s dignity of risk
  5. Create a risk management plan related to their activity choice
  6. Record details of discussion and outcome in the support plan
  • Identify any lifestyle risk factors as per Lifestyle Risk Factors Policy and Procedure
  • Create an emergency plan (Emergency and Disaster Management Policy and Procedure), test and adjust the plan in consultation with the participant
  • Train and inform staff on the support plan strategies and documentation
  • Allow staff access to the support plan so they can undertake strategies and inform participants when questioned.

iSeekSupport recognises that participants have the right to dignity of risk in their decision-making. Participants will be advised of the following:

  • Various relevant options that may support their needs before any decisions are made
  • Benefits of each relevant option
  • Risk, if any, linked to each relevant option.

Participants will be provided time to absorb information and make the appropriate decisions based on the risks involved.

5.3 Autonomy #

All participants have the right to autonomy, and all staff will respect this. Participants can make decisions for themselves and pursue the actions that they determine. Participants have the right to make choices based on who they are and what they want to do. Front-line workers must allow the participant their right to intimacy and sexual expression (in the context of lawful behaviour).

5.4 Time #

iSeekSupport recognises that the participant may require time to make some decisions so they can review the various options available to them. Participants may also need to seek advice from their networks and relevant stakeholders. Staff must not rush participants at any stage during the support provision and decision-making process.

5.5 Documentation #

iSeekSupport requires staff to record all information and options provided to each participant. Decisions will be recorded in the participant’s file.

6.0 References #

iSeekSupport Policy and Procedure – Published on 09.02.2022 #

Powered by BetterDocs

iSeekSupport Employee Login