1. Empowering People in Communities Inc.

2. * We would like to acknowledge today the original custodians of this land in which we are meeting today. They have cared for this land for generations and we would like to pay our respects to the elders both past and present for their continuing contribution to this region.

3. * Housekeeping * Confidentiality * Introductions

4. DAY ONE * History of services and types of disability * EPIC’s values, mission and vision * Disability Service Standards * Morning tea 10 to 10.15am * Social Role Valorisation and community inclusion * Confidentiality and language * Lunch 12.15 to 12.45pm * The support workers role * Personal care * Finish 2.00pm

5. * Values: * Proactive * Inclusion * Trust * Reliability * Consistency * Respect * Vision: All people are empowered and valued within the community. * Mission: EPIC will build string relationships with individuals and communities that lead to inclusion. EPIC will set the standard of excellence in the way we deliver our services.

6. The Fremantle Lunatic Asylum The Claremont Hospital for the Insane

7. * 1948: United Nations Universal Declarations of Human Rights * 1959: Convention on the Rights of the Child * Parents demanded government services. * 1967: Pyrton Training Centre opened

10. LAC began in Albany in 1988

11. Committee of Management Chief Executive Officer CoordinatorsAdminHuman Resources FinanceProject Officers Support workers

12. * Funding is tied to the individual, not EPIC * Individuals and families work in partnership with EPIC to determine supports that are tailored to their individual need * Funding is to provide support for additional needs people have because of their disability, not to cover personal expenses

13. * Can you tell us what is meant by disability? * Do people from different cultures describe disability differently?

14. * A permanent condition caused by –  neurological,  cognitive,  intellectual,  sensory,  physical impairment,  or any combination of these.

15.  1 in 5 Western Australians has a disability  about 400,000 people.  Three quarters of these have a physical disability as their primary disability.  About 100,000 need help in personal care.  Most (95%) West Australians with disabilities live in the community.  Around 87% of people with disabilities receive support from family and friends.

16. 1. Service access. 2. Individual needs. 3. Decision making and choice. 4. Privacy, dignity and confidentiality. 5. Participation and integration. 6. Valued status. 7. Complaints and Disputes. 8. Service management. 9. Protection of human rights and freedom from abuse and neglect.

17. * Outcomes are the change that occurs when a person reaches their goals. EPIC’s outcomes are: * Choice and control over life * Wellbeing * Family and relationships * Safety and security * Community participation * Supporting family, friends and carers * Learning new skills

18. * Some people, including people with disabilities, can be devalued by society * Our role is to build up people’s competencies in roles that society values * “If we believe you are like it, and treat you like it, you will become like it.”

19. * Respond to the questions on Social Role Valorisation in your Employee Manual * Then together we will discuss the case study

20. Tom is 35 and has an intellectual disability caused by an acquired brain injury in his childhood. He lives independently with assistance from support workers 24/7. Tom is fascinated by earthmoving equipment as well as trucks and boats. At home he has his own man-sized sandpit and a variety of Tonka toys he plays with. He is physically active and strong, although has difficulty communicating his wishes with words.

21. For people with a disability, community inclusion is even more important Some people with a disability need support to know what is available in their community Support workers should follow 3 steps in assisting with community inclusion Identify interests Identify what activities can meet their interests Support the person to participate

22. * Words influence community attitudes – both positively and negatively. * Some words by their very nature degrade and diminish people with disabilities. * Labelling people by their disability sets them apart from the rest of the community. It also focuses on their disability and ignores their others roles and attributes.

23. * Don’t define people by their disability * Avid words and phrases with negative connotations. * Be specific about a persons circumstance * Avoid stereotypes, generalisations and assumptions

24. * Refer to the table on page 16 of your manual on words to avoid and words to use * Complete the exercises on page 17

25. * People with disabilities and their families often have a lot of people come into their lives * All workers are bound by a confidentiality agreement * Complete the exercises in your manual

26. EPIC’s Expectations – * Act professionally and positive attitude * Team work and attendance to team meetings * Communicate with your coordinator, person you support and their family * Care and diligence at all times * Follow reporting and recording requirements * ‘person’ oriented, not ‘task’

27. * Personal care is an important part of your role as a support worker * Personal care involves tasks such as showering, toileting, oral hygiene, dressing and grooming * These can be of an intimate nature

28. * Watch the video on Introduction to Personal Care and Pressure Management, and pause when it is time for discussion http://www.youtube.com/watch?v=Ke78CANE1eY * Watch the video on Dressing and Grooming, and pause when it is time for discussion and discuss as a group all the problems with ‘scenario 1’ http://www.youtube.com/watch?v=qlXU20VKltM

29. * Watch the video on Appropriate Contact and pause when it is time for discussion and as a group discuss the problems with each scenario http://www.youtube.com/watch?v=bhlSAyeom0 c#t=164

30. * Read the persons INDIVIDUAL SUPPORT PLAN * Encourage INDEPENDENCE * Appreciate their PERSONAL PREFERENCES * Recognise the persons RIGHTS * Observe and report CHANGES

31. * Thank you for your participation today, and we will see you tomorrow !

32. Empowering People in Communities Inc.

33. DAY TWO * Person not task orientated * Values and attitudes * Role modelling and decision making and choice * Introduction to medications * Morning Tea 10.15 – 10.30 * Carers Recognition Act * Person Centred Planning * Positive Behaviour Support * Lunch 12.15 -12.35 * Occupational Safety and Health * EPIC Policies and Procedures * Finish 2.00pm

34. * Families are central to people lives * It is important for support workers to be family-centred * This means always recognising the choices and needs of not only the person you are supporting, but their family as well

35. * Your responsibilities should always be centred around the person, not so much about the tasks you need to get done * You must support the person * Not do everything for them

36. * Your values may conflict with that of the person you support and their family * You must NOT impose your values onto a person or family * If you have problems or queries, discuss them with your coordinator

37. * It is important you are aware of your actions and appearance while working with the person you support. Some important things to remember are: * Include the person in all activities * Walk alongside them, do not lead them * Have patience and always use a kind tone of voice * Do NOT talk about the person in front of them, always include them in the conversation

38. * Do not make decisions for the people you support * Help them to understand their choices and the consequences of each action * Make sure the person is aware of all the potential consequences so they can make an informed decision * Respond to the question in your manual

39. What are they? * Any substance that modifies body functions * Prevent or treat an illness * Can range from herbal extracts and vitamins to synthetic chemicals

40. * Oral: Liquid, tablet, capsule * Enteral: PEG tube feeding * Sublingual: Dissolve under tongue * Topical (through skin): Cream, ointment * Inhale: Ventolin, oxygen * Instil: Eye drops or ointment * Insert * Inject

41. * The National Health and Medical Research Council (NH&MRC) classifies all drugs * Prescription only medications * Pharmacy only medications * Over-the-counter medications

42. * Drugs have three names: * Chemical name: molecular composition * Generic name: pharmaceutical name * Trade name: product name * Example: Paracetamol * Chemical: N-Acetyl-p-aminophenol * Generic: Paracetamol/acetaminophen * Trade: Panadol, Panamax, Dymadon, Febridol

43. * Individually prepared by the pharmacy * 28 individual doses for breakfast, lunch, dinner and bedtime, 7 days a week.

44. * Safety is most important * Read EPIC’s Policy and Procedure on Medication * Record keeping * Report any issues and mishaps

45. * Watch the following video on the administration of medication http://www.field.org.au/resources/videos/resour ces.htm

46. ALWAYS wash your hands thoroughly with soap and water before giving medications! Washing your hands is the single most important important act to safeguard the health of others and yourself.

47. * Support workers must always check the following before giving the medication: * Right person * Right medication * Right dose * Right route * Right day and time * And any special instructions e.g. to be taken with food

48. * All support workers are to follow EPIC’s procedure for administering medication: 1. Wash and dry hands thoroughly 2. Take blister pack and water (and food if necessary) to person 3. Avoid disruptions while giving medication 4. Check the name, dose, route, time and instructions 5. Check all tablets have been removed from blister pack 6. Check the person has consumed all the medication 7. Sign the signing sheet 8. Return the medication to the cupboard or safe

49. * Always give medication within 30 minutes of prescribed time * Do NOT double dose if medications were not given at the correct time * Do NOT give oral medications if the person is not fully conscious * The person should be sitting up or standing while taking the medication

50. * What is the difference between a carer and a support worker? Refer to page …. In your manual * Carers face many challenges that are only just beginning to be recognised by our community * The demands of caring make it difficult to have a job, a social life or simply take time out to relax

52. * Planning based around the individuals hopes and dreams * All aspects of support are reflective of the needs, interests and preferences of the person being supported * The main theme of PCP is that the person has control and ownership over their own life

53. * The planning process is individualised * The support must NOT be depersonalising or service centred in any way

54. * What are “challenging” behaviours? * Challenging behaviours can involve: * Refusing to follow a request * yelling, and verbal aggression * Self injury * Illegal behaviours * These behaviours can be challenging to the person and surrounding people

55. Such behaviours can be caused by: * Frustration if they have limited communication skills * Pain * Unexpected changes in routine * Being told no, or being “told off” * Change in medication An important thing to remember is the behaviour is not always a result of the persons disability !

56. * Positive Behaviour Support aims to decrease the frequency and severity of ‘challenging’ behaviour * Developing a support plan focuses on needs, home environment and overall lifestyle * It involves the family and support workers developing a shared understanding of why the behaviours persist * Positive support plans use person centred approaches

57. * Restrictive practices take the form of: * Seclusion * Chemical restraint * Mechanical restraint * Physical restraint * Other restrictive practices

58. * Safety in the workplace is everyone’s responsibility! * Some of the matters related to OSH: * Hand Hygiene * Infection Control * Manual Handling * Duty of Care * Dignity of Risk * Hazard and incident reporting * Workers Compensation

59. * Provide safe workplace, systems, plant and equipment * Provide information, training, supervision and instruction * Consult with employees and OSH representatives * Provide personal protective equipment * Transport, maintain, store, use and dispose of hazardous substances at no cost to employees

60. * Take responsibilities for your own health and safety and that of people you are working with * ALWAYS follow instructions and procedures * Report hazards, injuries, illness, accidents * Use protective equipment

61. * Cross infection is a risk when assisting with personal care * It is imperative that standard precautions are followed when coming into contact with materials such as: * Bodily fluids * Blood * Secretions and excretions * Mucous * Broken skin * Blood * Frequent hand washing, antibacterial gel, covering cuts and scratches and using protective gloves are just some of the precautions that MUST be taken

62. * Germs are most easily spread through hand contact * The best way to stop the spread of germs is through frequent washing and decontamination (alcohol based gels) of your hands * Refer to the correct procedure for hand washing in your manual

63. * The correct manual handling procedures must always be followed to prevent injury to yourself and the person you are supporting * Some of the questions that you should keep in mind are: * Are you fully aware how to use the equipment correctly? * Is the equipment regularly maintained? * Do you have the necessary physical ability? * Are you aware of the correct posture to prevent injury?

64. * Some people need lifting aids to assist with transfers * Each individual has his or her own hoist that is tailored to that individual * The use of a hoist means NO LIFTING is required * It is the responsibility of ALL STAFF to follow the CORRECT procedure for each individual

65. * As a support worker you are required by law to take reasonable care and skill in performing your duties. * You must ensure that the person you are supporting does not come to foreseeable harm or loss

66. * People can learn from making mistakes. * Support workers needs to challenge, empower and encourage the person to develop new skills to be able to lead a more independent life. * Balancing the person’s safety with the need to respect their right to freedom and to take risks.

67. * All hazards and incidents must be reported following EPIC’s procedure: 1. Attend to the injured and notify emergency services if necessary. Enlist assistance if required 2. Make the site safe to prevent further injury, accident or incident 3. Secure the site of the hazard or incident to ensure that it is not disturbed 4. Notify the coordinator of the hazard or incident immediately 5. The coordinator to whom the hazard or incident is reported must immediately notify the appropriate representative of the OSH committee 6. The coordinator must then report the hazard or incident onto TRACCS 7. The support worker that notified the hazard or incident must fill out the ‘Incident form’ within seven days 8. It is mandatory that coordinators follow up the hazard or incident within seven days and record all follow up actions on TRACCS

68. * You are entitled to make a claim if you sustain an injury in the course of your employment and are defined by the law as a worker * There is a step by step procedure in your manual for making a claim

69. * Our policies and procedure define the way we do things at EPIC * It is extremely important that all procedures are known and followed correctly * They can be found in the Policies file in the office

70. * Please form groups * You will each be given a policy * Read the policy and make sure you understand it * You must then summarise the policy to the rest of the group

71. * Thankyou for your attention and participation today * Welcome to the team at EPIC * Thankyou for the contribution you make to the lives of people with disabilities