Services available within a Home Care Package
Levels of Service
There are four levels of Home Care Packages:
- Level 1 supports people with basic care needs
- Level 2 supports people with low level care needs
- Level 3 supports people with intermediate care needs
- Level 4 supports people with high level care needs
The hours of care increase at each level of care; with more hours of care and services delivered under Home Care Package Level 4 than Level 1.
Package supplements also exist, subject to meeting criteria – including a Dementia and Veterans Supplement – in all four levels of Packages.
The Myagedcare website provides a detailed breakdown of the services provided under Home Services, and also what is not included. The range of services includes:
- Personal services - including individual supervision and physical assistance with activities such as bathing, showering, toileting, dressing and undressing, mobility, communication, etc
- Nutrition, hydration, meal preparation and diet - including assistance with preparing meals; assistance with special diet for health, religious, cultural or other reasons; assistance with using eating utensils and assistance with actual feeding if needed
- Management of skin integrity - including providing bandages, dressings and skin emollients
- Continence management - including assessment for and, if required, providing disposable pads and absorbent aids, commode chairs, bedpans and urinals, catheter and urinary drainage appliances and enemas; assistance in using continence aids and appliances and managing continence
- Mobility and dexterity - including providing crutches, quadruped walkers, walking frames, walking sticks, mechanical devices for lifting, bed rails, slide sheets, sheepskins, tri-pillows, pressure relieving mattresses and assistance with the use of these aids.
Nursing and allied health or other clinical services, such as hearing or vision services, can be accessed under any level of Home Care Package, but the packages are not intended, as you would expect, to provide comprehensive or complex clinical or health services within a home environment.
Consumer Directed Care (CDC)
All Home Care packages are now delivered on what is called a Consumer Directed Care (CDC) basis. The intention is that CDC allows the recipient to make choices about the types of assistance accessed and the delivery of those services, including who will be the service provider and when the services will be delivered. In the CDC approach:
- you are encouraged to identify your goals which will be the basis of the care plan
- you decide how much involvement you want to have in managing the package
- you are able to exercise choice in the way that services are delivered and by whom
- you will receive a (monthly) individualised budget and a monthly statement of income and expenditure
- you can expect an ongoing monitoring and review, and a formal re-assessment by the home care provider.