Specified Care and Services

F1 Care and services

(1) Care and services

The following table specifies the care services that an approved provider of a home care service may provide.

Care Services
Item	Service	Content
1	Personal care	Personal assistance, including individual attention, individual supervision and physical assistance, with: bathing, showering including providing shower chairs if necessary, personal hygiene and grooming, dressing and undressing, and using dressing aids; and toileting; and dressing and undressing; and mobility; and transfer (including in and out of bed).
2	Activities of daily living	Personal assistance, including individual attention, individual supervision and physical assistance, with communication including assistance to address difficulties arising from impaired hearing, sight or speech, or lack of common language, assistance with the fitting of sensory communication aids, checking hearing aid batteries, cleaning spectacles and assistance in using the telephone
3	Nutrition, hydration, meal preparation and diet	assistance with preparing meals; and assistance with special diet for health, religious, cultural or other reasons; and assistance with using eating utensils and eating aids and assistance with actual feeding, if necessary; and providing enteral feeding formula and equipment.
4	Management of skin integrity	Includes providing bandages, dressings, and skin emollients.
5	Continence management	assessment for and, if required, providing disposable pads and absorbent aids, commode chairs, bedpans and urinals, catheter and urinary drainage appliances and enemas; and assistance in using continence aids and appliances and managing continence
6	Mobility and dexterity	providing crutches, quadruped walkers, walking frames, walking sticks and wheelchairs; and providing mechanical devices for lifting, bed rails, slide sheets, sheepskins, tri-pillows, and pressure relieving mattresses; and assistance in using the above aids.

(1) Support Services

Care Services
Item	Service	Content
1	Support services	cleaning; and personal laundry services, including laundering of care recipient's clothing and bedding that can be machine-washed, and ironing; and arranging for dry-cleaning of care recipient's clothing and bedding that cannot be machine-washed; and gardening; and medication management; and rehabilitative support, or helping to access rehabilitative support, to meet a professionally determined therapeutic need; and emotional support including ongoing support in adjusting to a lifestyle involving increased dependency and assistance for the care recipient and carer, if appropriate; and support for care recipients with cognitive impairment, including individual therapy, activities and access to specific programs designed to prevent or manage a particular condition or behaviour, enhance quality of life and provide ongoing support; and providing 24-hour on-call access to emergency assistance including access to an emeemergency call system if the care recipient is assessed as requiring it; and transport and personal assistance to help the care recipient shop, visit health practitioners or attend social activities; and respite care; and home maintenance, reasonably required to maintain the home and garden in a condition of functional safety and provide an adequate level of security; and modifications to the home, such as easy access taps, shower hose or bath rails; and assisting the care recipient, and the homeowner if the home owner is not the care recipient, to access technical advice on major home modifications; and advising the care recipient on areas of concern in their home that pose safety risks and ways to mitigate the risks; and arranging social activities and providing or coordinating transport to social functions, entertainment activities and other out-of-home services; and assistance to access support services to maintain personal affairs.
2	Leisure, interests, and activities	Includes encouragement to take part in social and community activities that promote and protect the care recipient's lifestyle, interests, and wellbeing
3	Care Management	Includes reviewing the care recipient's home care agreement and care plan, coordinating and scheduling care and services, ensuring care and services are aligned with other supports, liaising with the care recipient and the care recipient's representatives, ensuring that care and services are culturally appropriate, and identifying and addressing risks to the care recipient's safety.

(2) Support Services

The following table specifies the clinical services that an approved provider of a home care service may provide

Clinical Services
Item	Service	Content
1	Clinical care	nursing, allied health and therapy services such as speech therapy, podiatry, occupational or physiotherapy services; and other clinical services such as hearing and vision services.
2	Access to other health and related services	Includes referral to health practitioners or other related service providers

F2 Excluded Items

Items that must not be included in package of care and services

The following table specifies the items that may not be included in a Home Care Package.

Excluded items
Item	Excluded items	Content
1	Clinical care	use of the package funds as a source of general income for the care recipient; purchase of food, except as part of enteral feeding requirements; payment for permanent accommodation, including assistance with home purchase, mortgage payments or rent; payment of home care fees; payment of fees or charges for other types of care funded or jointly funded by the Australian Government; home modifications or capital items that are not related to the care recipient's care needs; travel and accommodation for holidays; cost of entertainment activities, such as club memberships and tickets to sporting events; gambling activities; and payment for services and items covered by the Medicare Benefits Schedule or the Pharmaceutical Benefits Scheme.
2	Access to other health and related services	Includes referral to health practitioners or other related service providers