Overview of today
• What is advocacy
• Accessing QADA services
• Accessing Aged Care Services
Who is QADA?
• Not for profit community organisation
• QADA provides advocacy support, information and
education for those receiving aged and community
care services for help with their service issues.
• QADA also provides advocacy to people who's
decisions making capacity is being questioned through
the QCAT process
General Advocacy
• QADA provides support with issues regarding service
provision to:
• Recipients of community care services
• Recipients of Australian Government aged care
services
• Carers or representatives of clients of the above
services
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Independent
Free
Confidential
Consumer directed
Systemic advocacy
Aged Care Services
Queensland Community Care Services (QCCS)
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Personal Care
Meals
Centre based activities
Goods and equipment
Nursing Services
Home modifications
Shopping assistance
Domestic Assistance
Transport
Counselling support and advocacy
Social support
Home maintenance
Respite
Allied Health services
Commonwealth Home & Community Care Program
Home Care Packages Program
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Home Care Level 1 – to support people with basic care needs.
Home Care Level 2 – to support people with low level care needs.
Home Care Level 3 – to support people with intermediate care needs.
Home Care Level 4 – to support people with high care needs.
Home Care Package Program services
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Personal Care
Meals
Social support and activities
Health support (allied health)
Home maintenance & modifications
Domestic help
Transport
Counselling and support
Goods and equipment
Nursing Care
Consumer Directed Care Packages
• CDC gives you more choice and control over the types of care and
services you receive, how care is delivered and who delivers it to
you.
• Under CDC, you determine the level of involvement.
• CDC packages now and into the future.
Commonwealth Home Support Program
• From 1 July 2015, the Australian Government will launch the
Commonwealth Home Support Program
• Combining Commonwealth HACC, National Respite for
Carer’s Program & Day Therapy Centres Program
Residential Aged Care
• Residential aged care is for older people who can no
longer live at home.
• Aged care homes are owned and operated by
individuals and organisations that have Commonwealth
Government approval to provide residential care.
• Aged care homes provide varying levels of support
ranging from daily tasks and personal care to 24-hour
nursing care.
Accessing the Aged Care system
• My Aged Care website
• Ongoing needs identification tool (ONI)
• ACAT Aged Care Assessment Team
• 5 steps to entry to Residential Aged Care
• Aged Care Guide DPS Australia
Changes to the Aged Care System
• Removal of low and high care categories in
residential care
• Fees & charges, fee caps, hardship provisions,
Centrelink’s role
Aged Care information
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Choosing an Aged Care Facility
Extra services in residential care
Rights & responsibilities
Aged Care Complaints Scheme
Australian Aged Care Quality Agency
Sanctions & Notices of Non-Compliance
Guardianship - Understanding capacity
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Presumption of capacity
Capacity is in relation to a matter
Complex and simple decisions
Example – May be able to decide how to
manage your pension but may not be able to
make investment decisions about your
superannuation.
Enduring Powers of Attorney
• Financial decision making
• Personal decision making
- Health care decision making
Who can be appointed?
• Jointly or Severally?
• Must be on approved form
• Available at http://www.justice.qld.gov.au/justiceservices/guardianship/power-of-attorney/enduringpower-of-attorney
• For Real Estate register at Lands Titles Office
• Revocation
Advanced Health Directive
• Another enduring document
• Applies to health decisions
• Operates to provide or withhold consent to
specified medical treatment
• Must be witnessed by a doctor
• Can also appoint an attorney for health
matters in this document
Hierarchy of health decision makers
• Advanced health directive (including attorney
for health matters appointed by this document)
• Guardian for health matters
• Enduring Power of Attorney for health matters
• Statutory Health Attorney
Statutory Health Attorney
• No other method available
• Substituted medical consent
• Nature, benefit and risks of treatment – Right
to be informed
Hierarchy of Relationships for
Statutory Health Attorney
• Spouse of close and continuing (includes de facto)
• Has care of adult and not a paid carer – can receive
carer’s benefits and pensions
• Close friend/relation and not a paid carer
• Adult Guardian if none of the above readily available
and culturally appropriate.
Office of The Adult Guardian
• Protection of vulnerable adults from neglect,
exploitation and abuse
• Investigation function
• Acts as guardian of last resort
Public Trustee of Queensland
• Appointment as attorney
• Appointment as administrator
• Administrator – no person suitable or available
The Queensland Civil & Administrative Tribunal
(QCAT)
Guardianship Function – Orders
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Administration Orders
Guardianship Orders
Declaration of Capacity
Validity of Enduring Powers of Attorney
The Guardianship Advocacy Service
• Provide support and advocacy for an adult during the
QCAT process
• Work within the legislative framework of the QLD
guardianship system
• Promote an adult’s right to maximum participation in
decision making, the least restrictive option for
substitute decision making and right to adequate
support for decision making
Guardianship Advocacy Service
Who are our client group?
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Adults going through the QCAT process
Adults potentially going through the QCAT process
Adults wishing to have their QCAT orders reviewed
Carer’s Queensland receive funding to assist Carer’s
through the QCAT process
- Offices
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Cairns
Townsville
Mackay
Rockhampton
Hervey Bay
Brisbane
Gold Coast
Toowoomba
FREECALL 1800 818 338