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Support Planning

NDIS Practice Standard 3: Provision of Support #

1.0 Purpose #

The purpose of this policy is to outline the legislative requirements and practice procedures for undertaking support services for NDIS participants. iSeekSupport will comply with the requirements of NDIS Practice Standards and Quality Indicators.

Compliance with this policy is a condition of appointment for all persons engaged in providing services on behalf of iSeekSupport.

2.0 Scope #

To instruct our team on developing a support plan to incorporate the participant’s wants, needs and aspirations. Support Plans include the type of staff and the time and length of the service linked to the registration group on an NDIS Plan.

3.0 Policy #

All participants and their support networks are aided to collaborate and participate in developing a goal-oriented support plan. The support plan will reflect an individual’s goals and aspirations and review the participant’s strengths and functionality. The plan is based on the presumption of capacity and will safeguard the risks and needs of the participant.

The support plan incorporates both the participant’s supports (described as nature of a coordination, strategic or referral service or activity) and reasonable and necessary supports funded under NDIS (activities that support goals to maximise independence, allow to live independently and undertake mainstream activities).

The support plan will provide transparent written information to the participant outlining the services and type of support/s they will receive from iSeekSupport. The amended support plan will communicate changes in the participant’s needs, preferences, or goals. This document must be readily accessible to the participant and their workers.

Participants will be provided with the support plan in a mode of communication that has been noted in their file. The support plan must be discussed and explained in detail to the participant to implement adjustments and feedback.

Staff must be screened, trained and qualified in the roles they undertake; all staff must hold current worker screening.

3.1 Support planning principles #

  • The support planning process is consultative where the participant, family, friends, carer or advocate work together to identify strengths, needs and life goals, focusing on choice and decision-making.
  • The participant’s preferences, values and lifestyle choices should be supported (wherever possible).
  • Support plans should promote the valued role of people with disabilities that is of their choosing.
  • iSeekSupport promotes functional and social independence and quality of life.
  • Support plans will contain goals.
  • Agreed service choices should reflect the participant’s personal goals.
  • Support plans should be creative, flexible and not restricted to set patterns or methods of service delivery.
  • The plan’s activities and supports must include the participant’s chosen communities and maintain connections with their community to allow active participation.
  • If a participant identifies as Aboriginal or Torres Strait Islander, their community will be contacted to engage and support services.
  • The support plan is reviewed regularly (at least annually) and amended to respond to participants’ needs and preferences.
  • The support plan should be strength-based, seeking to maximise independence and build on the participant’s existing networks.
  • The support plan should be provided to the participant in their first language or Easy Read, where appropriate or requested.
  • Staff working with a participant must have access to and understand the support plan and Personal Emergency Preparation Plan
  • Support plan must include preventative health measures, including vaccinations, dental check-ups, comprehensive health assessments and allied health services
  • The participant or their advocate may request a review of the support plan at any time.
  • The staff developing the support plan will have the necessary skills and competence to undertake this function.
  • The support plan be linked to the Personal Emergency Preparation Plan
  • A participant with a disability will be facilitated to assist comprehension of their NDIS Plan, including:
    • Understanding and self-directing their NDIS Plan
    • Understanding the supports in their NDIS Plan
    • Understanding funded support budgets
    • Purchasing general funded supports
    • Purchasing stated funded supports
    • Managing and paying for their supports
    • Choosing their providers
    • Making agreements with their preferred providers.

4.0 Procedure #

4.1 Support plan development #

4.1.1 Planning #
  • Explain the support plan development process for the participant.
  • Arrange a meeting time with the participant and, if applicable, their advocate or family.
  • Develop the support plan with as much input, choice and decision-making from the participant as they want. Document the reasons for the decisions made (should a participant choose to have minimal input into their support plan).

Staff creating the support plan must understand the participant and their requirements and undertake the following:

  • Work with the participant to make sense of their NDIS plan, understand how to use it and how it links to other services or plans in my life.
  • Build understanding of participants’ capabilities and support them to maintain and build their capacity and resilience to achieve my goals.
  • Support the participant to be creative and think outside the box to find and negotiate solutions that meet my goals.
  • Provide information and tailored opportunities for the participant to explore and expand their vision for their future and what it means to have a good life.
  • Share current best practices to support the participant to make connections and find information about support options.
  • Alert the participants to real or potential conflicts of interest when planning and selecting supports, and work with them to make informed choices.
  • Encourage the participant’s specialised and mainstream service providers to recognise and challenge prejudice or lack of vision in service offerings and attitudes.
  • Involve participants in understanding and designing safeguards to keep them safe while supporting their right to take risks and build independence.
  • Work with participants to develop an agreed way to respond to emergencies, crises and foreseeable life events
  • Be proactive in supporting preventative health measures, including vaccinations, dental check-ups, comprehensive health assessments and allied health services
  • Support and build participants’ capacity and confidence
  • Negotiate with support and service providers, make transitions or adjust my plan, if relevant to their role, and inform the supervisor otherwise
  • Encourage the participant to navigate complexity, resolve issues and maintain continuity and integration of supports, refer to supervisor as required
  • Create opportunities for the participants to practice and develop their capacity to manage and direct their supports
  • Support participants to coordinate different and often disconnected services and support into an integrated experience.
  • Identify breakdowns in support arrangements and work with participants and other service providers to adapt in response
  • Identify emergencies and disasters through linking to the Personal Emergency Preparation Plan

Before meeting with the participant, review the following:

  • Participant Intake Form
  • Participant assessment information
  • Referral documents
  • Other relevant notes or data available that will assist in understanding the participant as an individual.
4.1.2 Providing information to the participant #
  • Emphasise to the participant why they must identify their personal goals and aspirations.
  • Use the appropriate support plan as a prompt to assist the participant in identifying areas where iSeekSupport services may help them realise their goals.
  • Outline the prompts on the plan, including a discussion of the participant’s physical, emotional, spiritual, cultural, community, social and financial needs.
  • Provide the participant with a clear understanding of their choices and service options available to make informed decisions about their choices and priorities.
  • Explain to the participant any information-sharing requirements with other parties.
  • Provide the participant with examples and suggestions of how iSeekSupport services may be able to help them achieve their goals.
4.1.3 Facilitating the development of participant-centred goals #
  • Work with the participant and their advocate/s to identify their personal goals.
  • Ask the participant to identify the types of help or assistance that would be most important to them.
  • Help the participant recognise their strengths and capabilities.
  • Transform the participant’s goals into SMART (i.e. Specific, Measurable, Attainable, Realistic and Timely) goals, e.g.
    • Simple goal: To be able to collect the mail.
    • SMART goal: To walk to the letterbox, without assistance, every day to collect the mail.
  • Set a time frame for each goal, so progress can be measured, e.g. walk to the letterbox without assistance to collect the mail and achieve this by November 30.
  • Use the participant’s expressed goals, priorities, and agreed-upon actions in developing their support plan.

Consideration will also be given to:

  • Financial resource capacities and any limitations of ISeekSupport services or specific programs to be utilised
  • Capacities, expertise and appropriateness of current ISeekSupport staff to provide services
  • Availability of specialised subcontracted staff or services, if applicable
  • Other services or individuals who will provide services, as designated by the participant
  • Volunteer supports available
  • Determining (with the participant) how each goal will be measured so progress can be recorded
  • Identifying (with the participant) any potential barriers to achieving their goals and then developing strategies to alleviate those barriers
  • Working with the participant to prioritise their goals if many goals are identified. For each goal, list the actions, responsibilities, frequency and duration of services to be coordinated or supplied on behalf of the participant. Document all the information in the support plan
  • Identifying and documenting a support plan, all stakeholders (e.g. participant, family, advocate/s, community engagement links and other services or agencies) will undertake to assist the participant in achieving each goal.

4.2 Support plan delivery and review #

  • Negotiate specific days for services/supports and document in the participant support plan.
  • Where possible, agree upon time ranges for the services to build a level of flexibility into the service roster, e.g. start time between 1:00 pm and 1:30 pm and provision of one (1) hour of domestic assistance.
  • If not finalised, negotiate service fees and record these in the participant’s service agreement and the support plan.
  • Ask the participant to sign the support plan to acknowledge their agreement with it.
  • Ensure access to support plan by both the participant and their worker
  • Agree on the criteria to evaluate the effectiveness of iSeekSupport service responses and document this in the support plan.
  • Ensure that all involved stakeholders have copies of the agreed support plan.
  • Explain to the participant that the CEO or their managers will monitor the progress of the support plan and that the participant may also request a review of the plan at any time
  • Explain to the participant that they are part of the review process (see Responsive Support Provision and Support Planning Policy and Procedure).

iSeekSupport Policy and Procedure – Published 09.02.2022 #

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