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Supported Independent Living (SIL)

NDIS Practice Standard 3: Provision of Support #

1.0 Purpose #

The purpose of the Supported Independent Living (SIL) Policy and Procedure is to provide the structure to allow our staff members to work within the supported independent living registration group.

As a National Disability Insurance Scheme (NDIS) provider, ISeekSupport must undertake and submit particular documentation to meet the necessary registration group requirements. This includes using the Roster of Care (RoC) Submission Tool (the “RoC Tool”).

The RoC Tool is a Microsoft Excel document that assists the National Disability Insurance Agency (NDIA) to gain insight into a SIL participant’s typical week. Specifically, the RoC Tool aims to provide a mechanism for providers to communicate the supports they can deliver to meet a participant’s support needs and goals, which correlate with the participant’s agreement with the NDIA.

2.0 Scope #

The Supported Independent Living registration group provides one type of help or supervision with daily tasks to assist our participants to live as independently as possible while building their daily living skills. Supported Independent Living provides paid personal supports (e.g. having a carer to help with personal care tasks or cooking meals). Supported Independent Living support provision works towards building the participant’s skills to maintain or increase independence levels.

Supported Independent Living support takes place in the participant’s home. Participants can live in a shared home and receive SIL support. Supported Independent Living funding does not include items such as rent or other daily expenses (e.g. groceries).

Table 1. Supported Independent Living inclusions and exclusions #

3.0 Definitions #

3.1 Staff member work shifts

4.0 Policy #

Every SIL location must be inspected to ensure the safety of all participants. A Safe Environment Checklist is used to review and analyse the safety status of the participants. Management must review this data and the individual requirements (see Individual Risk Assessment Profile) of each participant in the location to ensure the environment meets the needs of the participant.

The CEO or their managers are required to undertake the following steps:

  • Review the Safe Environment Checklist for any real or potential issues.
  • Review the Individual Risk Assessment Profile and Support Plan goals of each participant.
  • Determine the needs, goals and interests of each participant.
  • Determine how to maintain a healthy and safe environment for the participant.
  • Create a cleaning and maintenance schedule for each location.
  • Create a Roster of Care for each participant.
  • Submit the Roster of Care to the NDIA.

All staff working in the supported independent living environment will be provided appropriate training on how to work with each participant (as per their support plan) and to ensure that the environment is safe and suitable to undertake all SIL requirements. Every participant is reviewed at least annually and supported as per their support plan.

5.0 Procedure #

5.1 Overview #

iSeekSupport will develop a Roster of Care (RoC) using the Assistance with Daily Living price limits so the NDIA can decide the type of supports to be included in a participant’s plan.

iSeekSupport is required to submit the RoC to the NDIA for consideration.

5.1.1 Location #

All sites must be kept hygienic and safe with strong infection control measures. Staff are required to follow health and hygiene procedures (e.g. hand-washing and infection control) to ensure the environment is safe for the participant.

As part of our management of the location, ISeekSupport must:

  • Undertake a safe environment review of the site.
  • Identify any issues, as per the Safe Environment Checklist.
  • Create a Risk Management Plan to eliminate or reduce identified risks.
  • Implement the Risk Management Plan.
  • Train ISeekSupport staff as per requirements.
  • Conduct an annual safety review, including fire and evacuation processes.
  • Undertake site visits at least every three months to ensure the environment is well maintained and meets ISeekSupport service standards.
5.1.2 Participant #
  • Collaborate with the participant and their nominee to complete the ROC SIL toolkit requirements and provide a copy to the participant.
  • Ensure that the participant has the SIL registration group included in their support plan and has the appropriate funds to cover the required service (see Service Agreement with Participant Policy and Procedure).
  • Undertaken an Individual Risk Assessment Profile and develop a Support Plan, as per the Support Planning and Service Agreement Collaboration Policy and Procedure, the Access to Supports Policy and Procedure and the Responsive Support Provision and Support Management Policy and Procedure.
  • Participants and staff are matched, as per the support plan.
  • Ensure that the rostering of staff meets the participant’s requirements.
  • Review staff for the quality of their support and to determine if they are meeting the needs of the participant.
5.1.3 Staffing #
  • Match iSeekSupport staff as per the requirements of the participant.
  • Training occurs in all aspects of supports for the individual participant.
  • Performance management is undertaken annually (or as required) to determine if staff are meeting the needs of supported independent living and our participants.
  • Two buddy shifts are undertaken to provide feedback by a supervisor to ensure staff are supported in their roles.

5.2 Medication access and storage #

5.2.1 Self medicating participant – on site

  • Participant will complete a Self-Medication Assessment Form and it will be kept on the participant’s record.
  • CEO or their managers will assess risks regarding participant self-administering medicines and determine their competency.
  • If approved to self-medicate, the participant will complete a Risk Indemnity Form relating to self-medication.
  • CEO or their managers will review the participant’s capacity for self-medication every three months.
  • If approved to self-medicate, a predetermined locked cabinet either in the participant’s room or kitchen will be used to store their medication safely and securely.
  • Only the participant and their support workers are provided key access.
  • A Medication Storage Key Register will record details of individuals provided with key access.

5.2.3 Self-medicating participant – in participant home

  • Participant will complete a Self-Medication Assessment Form which is kept on the participant’s record.
  • CEO or their managers will assess risks regarding participant self-administering medicines and determine their competency.
  • If approved to self-medicate, the participant will complete a Risk Indemnity Form relating to self-medication.
  • CEO or their managers will review the participant’s capacity for self-medication every three months.
  • If approved to self-medicate, location of medication will be noted in the Safe Environment Checklist by the support worker
  • CEO or their managers will recommend to the participant that all medication be stored in a locked cabinet.
  • Assist arrange a locked cabinet in the participant’s home if required.
  • Only the participant and their support workers will be provided key access if medication is stored in a locked cabinet.
  • A Medication Storage Key Register will record details of individuals provided with key access.

5.2.1 Provider medicating participants – on site

  • All medication will be stored in a predetermined locked cabinet either in the participant’s room or in the kitchen. The locked cabinet will be used to store medication safely and securely.
  • Staff approved to provide a participant’s medication will be included on their support plan.
  • Only support workers who have approval are provided key access.
  • A Medication Storage Key Register will record details of individuals who have key access.
  • Support workers will track management of medication using the Medication Chart, as required.

5.3 Roster of care procedure #

iSeekSupport acknowledges that while participants are funded for SIL individually based on their support needs and goals, the RoC Tool considers the support needs of all the residents in shared living arrangements (as a result the supports for both NDIS and non-NDIS participants who share supports must be captured in the submission).

The CEO or their delegated managers will complete the Roster Of Care Submission Tool which details the staffing mix and level of shared supports (through the ratio of supports), as well as the participant’s individual needs.

Together the RoC Tool, the RoC Template and any supporting documentation is sent for assessment and review to the NDIS via the following email address: SIL@ndis.gov.au

The RoC Tool combines a Roster of Care and Hourly Breakdown spreadsheets into one spreadsheet called Hourly Breakdown and automates the calculation of weekly summaries; this should, in turn:

  • Reduce duplicate information provided to the National Disability Insurance Agency.
  • Improve the accuracy of information shared between the National Disability Insurance Agency and providers.
5.3.1 SIL submission process #

CEO or their managers will review (at least annually) and follow the NDIS Operational Guidelines for Supported Independent Living. The delegated officer will undertake the following:

  • Confirm with the participant or their nominee (through the declaration section in the SIL RoC Template document) that they have been involved in developing the RoC with ISeekSupport and have been provided with a copy before it is submitted to the NDIA.
  • Send the submission (SIL RoC Tool and Template) on behalf of the participant to SIL@ndis.gov.au

Unless the participant has a change in circumstance, the same RoC as the previous plan will generally be used. If there has been a change of circumstance, ISeekSupport will submit evidence to support this and then repeat the above process to develop a new RoC.

Diagram 1. SIL submission process

5.3 Documentation #

iSeekSupport will maintain accurate and clear documents and consult with all parties.

Copies of all RoC supported independent living documents will be maintained and kept in the participant’s file for future reference.

iSeekSupport Policy and Procedure – Published 09.02.2022 #

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