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Hello, can you be an ILO Provider and also a Host, or is it a conflict of interest?
Thank you for your question nadine! The NDIA is currently developing a policy for ILOs (or Individual Living Options). Current ILO arrangements are to be maintained in participant plans. However, as for being an ILO Provider and Host - it would be best to confirm with the ILO Project Team - [email protected]
Further overview of ILOS:
What are ILOs?
Individual Living Options (ILO) are focussed on working with the participant and their family to consider their needs and preferences, and design a flexible package of supports. Implementation often happens in stages and the package includes a primary support approach and supplementary supports. Once established the living arrangement is closely monitored and fine-tuned.
The following describe a variety of living arrangements under the ILO heading:
- Co-Residency – support resides full time or part time in the participant's home
- Host Arrangements – participant resides full time in the home of a non related host who provides support
- Living Alone – support is provided in the home of the participant in a variety of ways
- Living Together – participant lives with other people of their choice and receives support
Hello, Q1-We are registered Providers in Victoria. We run an office of about 6 staff Members. with the COVID-19 we are not sure if we can still stay open, We have closed the doors to the public. and are following the distancing measures and also strict Hygiene measures. the local Council cannot help assist me and the NDIA are not sure. Q2- House hold tasks and garden Maintenance subcontractors. what are the guidelines for them? Participants want their homes extra clean.
Thank you for your questions.
You don't necessarily need to close your office but where possible, staff who can work from home should be doing so. This may mean, for example, that staff need to take computers home with them and have phone calls forwarded to them from the office. If they do need to be in the office, strict hygiene and social distancing practices should be enforced. Closing your doors to the public is a good idea and if someone does need to come in ask screening questions ('do you have any cold or flu-like symptoms?' 'have you travelled overseas recently?' etc) and get them to hand sanitise or wash their hands and practice social distancing. Regular hand washing / hand sanitising should also be enforced with staff who do come into the office - each time they come in or out, eat food, go to the bathroom, touch their face, blow their nose, etc.
In terms of support workers and other direct delivery staff, consider whether they are providing essential services or not, and whether service delivery can be altered in any way to make service delivery safer. This should be based on a case-by-case assessment of your participants' needs. For instance, household tasks will most likely be essential for most of the participants you have that use this service, but - for instance - can they be delivered at a different time of day when there aren't as many people in the home, or can residents stay outside the home such at the backyard or in a different area of the home? What additional PPE should staff have in order to protect them (gloves, masks, hand sanitiser etc)? Staff should also be on the look out for cold-flu symptoms in themselves and the person they're caring for, and should be asking participants regularly (at least before each visit) some screening questions before delivering services - if they or the participant is unwell, alternative arrangements should be made.
Take a similar approach for maintenance subcontractors - is the service they're providing essential for the participant? This may not be as likely as for household tasks or personal care services, but in some cases participants may genuinely need a maintenance service conducted in order to support their own health and safety. If this is the case, again, similar procedures to those outlined above should be considered.
Overall our best advice is to do some planning - identify each of your participants' specific needs and prioritise them in terms of how essential they are. Think about how service delivery should change now but also should things escalate (e.g. a case of COVID-19 is identified in a participant or a staff member). Also communicate clearly with both staff and participants about what's going on, what you're doing to respond and how you'll be changing service delivery to keep people safe. Particularly in this industry, quality service delivery needs to continue - we just need to review how it is done in order to keep everyone safe.
If I'm a registered provider as a sole trader, and wish to move to a company structure, how will this affect my registration with the commission?
The NDIS Commission previously required companies to undergo a Certification process, compared to Sole Traders who were required to undergo a Verification process.
However as of 1 January 2020, as a result of a legislative amendment, there are no longer differences in NDIS registration requirements based on business structure alone.
The process for determining if your business is required to undergo Verification or Certification is now determined by your service offerings (ie. whether they are of high or low risk to NDIS Participants).
The upshot of this is that there shouldn't be any change to your existing registration however you do need to notify the NDIS Commission of this change. The NDIS Commission will let you know if there is anything specific that you or they need to action. For instance as part of transitioning to a company you are bringing in additional key personnel, they will be subject to a suitability check by the NDIS Commission.
Please find the link the National Disability Insurance Scheme (Provider Registration and Practice Standards) Amendment (2019 Measures No.1) Rules 2019, below for your perusal.
To discuss your specific situation further, please contact the NDIS Commission on 1800 035 544.
In terms of NDIS Restrictive Practice legislation. Is having a locked gate around a premises counted as being restrictive? The participants may leave whenever they wish and it is more so for security.
I am not sure which State or Territory you are operating in however in Qld, a relevant service provider may lock the gates, doors or windows at the premises where disability services are provided to the adult if the only reason these are locked is to prevent physical harm being cause to the adult with a skills deficit. This also includes the locking of: perimeter gates; internal or external doors and/or windows while the adult and others are inside the building, restricting exit from the building. If the situation is that the Participants living in the premises do not have a skills deficit, then the gate would either need to be unlocked or locked with all Participants having their own key.
For further information see the below link about the Locking of gates, doors or windows. https://www.communities.qld.gov.au/resources/dcdss/disability/service-providers/centre-excellence/locking-gates-doors-or-windows.pdf
Do you have a template for a service booking for Plan management?
Thank you for your question! The NDIS has helpful information on how to create a Service Agreement as well as a Service Agreement Template (links provided below for you).
If you are have any further questions, please do not hesitate to get back in touch via our Help Desk.
Creating and Maintaining Incident management systems. Any advice?
Thank you for your question Fiona. Everyday Practice will be launching a topic in the coming months dedicated to Complaints and Incident Management, so keep your eye out for this! In the meantime, the NDIS Quality and Safeguards Commission have developed an Incident Management System Guidance to assist registered NDIS Providers in developing or improving their incident management systems to help them meet their requirements. This guidance details the types of incidents your system must cover, your system requirements (for example: an appropriate Incident Management System for the size of your business and the supports and services you are providing) and information about Reportable Incidents. You can find the Incident Management System Guidance document from the NDIS Quality and Safeguards Commission here: https://www.ndiscommission.gov.au/document/1086 and an overview of what Incident Management Systems and Reportable Incidents are here: https://www.ndiscommission.gov.au/providers/incident-management-and-reportable-incidents. If after reviewing these links you have further questions, please do not hesitate to jump back onto the Help Desk and we would be more than happy to assist you.