Assessment Summary / Cover Sheet: Student Assessment CHCCCS015 Provide Individualised Support

STUDENT ASSESSMENT
CHCCCS015 Provide individualised support
ASSESSMENT SUMMARY / COVER SHEET

(This sheet is in the Student Assessment pack)
This form is to be completed by the assessor and used a final record of student competency. All student submissions
including any associated checklists (outlined below) are to be attached to this cover sheet before placing on the students
file. Student results are not to be entered onto the Student Management System unless all relevant paperwork is
completed and attached to this form.
Student Name: Ishwor Thapa
Student ID No: Roll no; 20 / Folder num; FS20
Final Completion Date:
Assessor Name: Nisha Bhatnagar
Unit Code/ Title CHCCCS015 Provide individualised support
Please attach the following documentation to this form Result

 Observation Checklist in the Work Placement
Assessment Task 1- Record Book (1 assessor observation)
S / NYS
Observation & Logbook  Work Placement Record Book attached (1
workplace supervisor observation)
Assessment Task 2-
Written Test
 Written Test attached S / NYS
S = Satisfactory; NYS = Not Yet Satisfactory
Final Assessment Result for this unit C / NYC
C = Competent; NYC = Not Yet Competent
Assessor: I declare that I have conducted a fair, valid, Signature: ____________________________

reliable and flexible assessment with this student, and I
have provided appropriate feedback. Date: ____/_____/_____
Student Declaration: I declare that I have been assessed Signature:

in this unit, and I have been advised of my result. I also am _______ishwor_____________________
aware of my appeal rights. I also declare that the work
submitted is my own, and has not been copied or Date: ____/_____/_____
plagiarised from any person or source.
Administrative use only

Entered onto Student Management System  ________________
Date Initials
Student Assessment CHCCCS015 Page 1/16

Version: 4.0 Implemented: 29 July 2016
Responsibility: Director of Studies Last Updated: 29 July 2016
Einstein College of Australia Provider No:22459 CRICOS: 03223E ABN: 46 129 237 092
STUDENT ASSESSMENT
ASSESSMENT TASK 1 – OBSERVATION & LOGBOOK

This information which is in the Student Assessment pack is to be handed to each student to outline the assessment
requirements
Student Instructions
This assessment is to be undertaken in a fully equipped aged care facility.
1. For this assessment, you are to be observed on 3 separate occasions (2 observations

by your workplace supervisor and 1 observation by your assessor). For this activity you
are required to demonstrate your ability to provide support for three individuals as set
out by their support plans.
2. In your support of at least 3 clients you will need to demonstrate the following:
a. Determine your role in the support of each person.
b. Confirm individualised plans as required.
c. Provide each person with information on their rights and the complaints
procedures.
d. Identify actions and activities that relate to the individualised plan.
e. Provide each person with alternatives so they can make their own decisions.
f. Follow all policies and procedures related to providing support.
g. Ensure you respect each client.
h. Instil trust in each person.
i. Provide support services as outlined in the individualised plan including:
i. Assemble equipment as required.
ii. Consult with clients and carers.
iii. Ensure duty of care and safety are maintained at all times.
iv. Ensure dignity and privacy are maintained.
v. Seek assistance if required.
j. Monitor support activities including:
i. Monitoring own work.
ii. Gathering feedback from clients and carers/family members.
iii. Review individualised plan to ensure all outcomes are being achieved.
iv. Ensure self-determination of the person is maintained at all times.
k. Complete all reporting requirements including:
i. Keeping all information confidential and private.
ii. Maintain organisational reporting requirements.
iii. Identify issues of risk and respond appropriately.
iv. Identify and report any unmet needs.
v. Ensure all reporting in neat and within the organisations guidelines for
reporting.
3. During your observation you will need to discuss each of the following in relation to the
workplace you are working in:
a. How you have used person-centred planning when dealing with your clients.
b. How strengths-based practice is incorporated into your work activities.
c. The active support provided to each of your clients.
d. The documentation and reporting requirements that you have in your role with
the organisation.
e. The roles and responsibilities of the whole care team for each client including:

STUDENT ASSESSMENT
i. Carers and families

ii. Client
iii. Health professionals
iv. Individual workers
v. Supervisors
f. The service delivery model used.
g. The legal and ethical requirements that relate to your role and how you applied
then during your support of each person including:
i. Privacy, confidentiality and disclosure
ii. Duty of care
iii. Dignity of risk
iv. Human rights
v. Discrimination
vi. Mandatory reporting
vii. Work role boundaries – responsibilities and limitations
Your 3 observations will be observed as follows:

 2 observations by your host employer / workplace supervisor that will be verified by your
assessor from your College
 1 observation by an Assessor from your College
(These are to be recorded in your Work Placement Record Book that will be given to
you by your assessor)
To be assessed on: _______________________

STUDENT ASSESSMENT
ASSESSMENT TASK 2 – WRITTEN TEST

This information which is in the Student Assessment pack is to be handed to each student to outline the assessment
requirements.
Student Instructions
This is an open book written test. Therefore, you are allowed to bring books/ resources that
can help you to answer the test.
Your assessor will set a date and time for this open book written test.
On the test date:

1. Your assessor will set ground rules including no phones, talking, etc.
2. Your assessor will pass a copy of the assessment to you.
3. Your assessor will allow time for reading and questions before commencing
assessment.
4. You will have 1.5 hours for this assessment. Your are not to leave the classroom within
15 minutes of commencement of the assessment.
5. Once assessment has commenced, no communication between students is allowed.
6. If you repeatedly talk, or are caught cheating, you will be removed from the classroom,
and reported to student administration. Your assessment will be marked as “incomplete”
7. Remember – assessments are a participatory process, so your assessor can help re-
word questions, but cannot lead to answers.
8. Once completed, your assessment will be marked accordingly.
9. In the event that a question is not answered correctly, your assessor will discuss the
response with you to determine if you did not know the answer, or did not understand the
question.
10. In order to achieve competency, all questions MUST be answered correctly.
This assessment will be done on: _____________________

STUDENT ASSESSMENT
ASSESSMENT TASK 2 – WRITTEN TEST
Please complete below

Student Name: Ishwor Thapa
Student ID No: Date:
STUDENT INSTRUCTIONS
Please refer to the instructions below regarding completing this assessment
This is an open book written test. In the time allocated, you are to answer all of the following questions. Make sure you:
 Print Clearly
 Answer all questions
 Use a pen. Assessments written in pencil will not be accepted.
 Ask your assessor if you do not understand a question. Whist your assessor cannot tell you the answer, he/she may be able to re-
word the question for you
 Do not talk to your classmates. If you are caught talking, you will be asked to leave and your assessment will not be marked.
 Do not cheat or plagiarise the work of others. Anyone caught cheating will automatically be marked Not Yet Competent for this unit.
There are NO EXCEPTIONS to this rule.
QUESTIONS
1. For this task, you are to write a report about a time you have provided individualised
support to a client in the community services industry. If you have not provided
individualised support for a client in the community services industry, please complete
this in conjunction with your observation task. Your report must include details on the
following:
a. How you determined the support needs of the client, including:
i. How you clarified your own role in implementing the plan
To have a clarification of my own role in implementing the plan, I did the following to determine
the support needs of the client;
1. I read the care plan carefully and tried to understand the goals
2. I didn’t understand some of the plan and its goals, so I talked to my supervisor and the
nurse
3. I talked to the client by myself about the support needs and their preferences
4. I reviewed the notes written by the doctor
5. I reviewed all the notes when I was not clear and make myself clear about the care and
the plans needed to achieve the set goals

STUDENT ASSESSMENT
ii. Processes you followed to confirm the plan details with clients, and their
families and carers if appropriate
The Processes which I followed to confirm the plan details with clients, and their families and
carers are;
1. I talked and discussed the plans with the client’s family and friends
2. I asked the client about their choices and encourage them to provide the preferences
3. I maintained the privacy and confidentiality of the client
4. I talked to the manger and supervisor with the confirmation of plan details
iii. How you ensured that the client was aware their rights and of complaints
procedures

STUDENT ASSESSMENT
I ensured the client was aware of their rights and of complaints procedures by discussing and
talking with the clients and make sure that the client knows about his rights and the freedom to
have the choices and preferences.
b. How you provided support services for the client, including:

i. What you did to prepare for the support activities, include information
regarding assembling and required equipment
For the preparation of support activities, including information regarding assembling and
required equipment, I made sure I can use the following supporting equipment;
1. Sphygmomanometer
2. Hoist
3. Wheelchair
4. Thermometer
5. Toileting chair
6. Glucometer
ii. How you developed and maintained trust with the client

STUDENT ASSESSMENT
I developed and maintained trust with the client by;

1. Being honest
2. Not discriminating and criticizing
3. Offering help anytime they need it
Maintaining confidentiality and privacy of the client’s information
iii. What methods you used to show respect to all involved throughout the
process
I used the following methods to show respect to all involved throughout the process;
1. I respect their culture, values and choices
2. I was honest and polite to all involved
3. I maintained the privacy and confidentiality
4. I offered the help anytime they needed
5. I always asked for the permission
6. I took the informed consent of every procedure
iv. If you sought any assistance throughout delivering the support

STUDENT ASSESSMENT
Throughout the delivering of support, whenever I sought any assistance, I took

assistance from the other PCAs, manager, their families and the GP.
c. How you monitored your support activities, including:

i. How you monitored your own work
I monitored my work by taking feedbacks from the clients, my senior staff, client’s family and
questioned them whether they are happy with my care or not.
ii. How you involved the client in discussions regarding their support
I involved the client in discussion regarding their support by;

1. Encouraging and empowering the clients
2. Sharing the responsibility and task with the client
3. Asking their choices and feedbacks
4. Talking with the client in a good way
5. Questionnaire to the client and their family about the feedback of
provided care
iii. Did the plan require reviewing? If so; why, who did you discuss it with and
how did that discussion support the client’s self-determination?

STUDENT ASSESSMENT
Yes, the plan requires reviewing. This is because the client’s need and choices may
change.
If the plan didn’t work then the plan must be changed according to the client’s needs
with the associated personnel for example; if the client doesn’t like the food then I
would talk to the dietician who can change the food menu as the client’s preferences
and dietary requirements which supports the client’s self-determination
d. All information regarding the reporting and documentation you completed as part
of your support
The reporting and documentation should be done after the completion of care and support on;
1. Incident form
2. Progress note
3. Medicine chart
4. Personal support plans
5. Personal hygiene chart
Continent chart
2. How would you work with a person to identify actions and activities that support their
needs in relation to the individualised plan?
To identify the actions and activities that support the client’s needs in relation to the
individualized plan, I would work with a person by;
-I will ask their hobbies and activities
-By looking at care plan
-By discussing with client about their interests, likes, dislikes
-By discussing with client’s family
3. What would you do to ensure you provided support to a person according to the duty of
care and dignity of risk requirements?
STUDENT ASSESSMENT
To ensure that the provided support is according to the duty of care, I made sure of the
following;
1. Policies and rules of an organization are fulfilled
2. Both positive and negative feedback from client and other staff are taken
3. Privacy and confidentiality of the client are maintained
I did the following to ensure that the client’s dignity of risk requirements is provided;
1. I supervised the client all the time
2. I was present all the time to identify and avoid potential hazards
4. What assistance can you provide to ensure a person maintains a clean, comfortable,
safe and healthy environment?
To ensure a client is clean, safe and is in healthy environment, I can provide the following
assistance;
-Assisting the client with personal hygiene
-Identify any hazards and report them
-Cleaning the environment when necessary
5. How would you respect individual differences in people?
I would respect individual differences in people by;

1. Respecting their choices and preferences
2. Respecting their culture and spiritual beliefs
3. Be non-judgmental towards the client
4. Don’t impose your values on the client
6. To support a person’s self-determination what should you do?

STUDENT ASSESSMENT
I should do the following to support a person’s self-determination;

-Encourage and motivate them
-Appreciate them, respect their choices
-Arrange essential things
-Respect their opinion and choices
7. What information do you need to keep confidential?
The informaiton that I need to keep confidential are;

1. Personal information of client like name, age
2. Medication
3. Family issues
4. Personal issues like health condition
5. Personal plans
6. Financial details
8. What would you have to do to comply with your organisations reporting requirements?
To comply with the organization reporting requirements, I would;

-Follow organization reporting requirement
-Cultural respect to be given
-Maintain confidentiality
-Follow workplace policy and procedure
-Write accurate data and information

STUDENT ASSESSMENT
9. If you identify a situation of risk what should you do?
If I identify a situation of risk, then I would do the following:

1. Protect the client right away
2. Remove the risk in the event that you can
3. If you can't eliminate the risk, at that point advise to the supervisor or the high
authority
4. Fill up the episode structure
5. Make a risk sign and put it on the hazard zone to prevent any accident
10. What should you do if you identify a client whose needs have not been met?
I would do the following if I identify a client’s needs have not been met;
-Tell the supervisor and consult with client on how the needs might be met
-Discuss with client and hence put changes into the care plan
11. How should documentation be maintained?

STUDENT ASSESSMENT
The documentation should be maintained by:

1. Maintaining confidentiality and privacy
2. The files should be password protected
3. Only authorized people should be able to access the information
12. How would you store client information?
I would store the client information by:

-Electronics files must to be password protected
-Hard copies are stored in a secure location
-Files should never be left in a public areas
-Client information should never leave the facility
13. What are two factors that affect people using your support services?

STUDENT ASSESSMENT
The two factors that affect people using the support services are;
-Financial Position
-Cultural and language barriers
14. What practices have you used to support skill maintenance and development?
I have used the following practices to support skill maintenance and development;
1. Cardiopulmonary resuscitation
2. Attend training when offered in the workplace
3. Self-reflection
4. Food handling practices
5. Manual handling
Before you hand in your written assessment, make sure that you:
1. Re-check your answers and make sure you are happy with your responses
2. Have written your Name, Student ID and Date
Result: Satisfactory / Not Yet Satisfactory
Comments:

STUDENT ASSESSMENT
Assessor: I declare that I have conducted a fair, valid, Signature: ____________________________

reliable and flexible assessment with this student, and I
have provided appropriate feedback. Date: ____/_____/_____
Student Declaration: I declare that I have been assessed Signature:

in this unit, and I have been advised of my result. I also am ____ishwor________________________
aware of my appeal rights.
Date: ____/_____/_____


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STUDENT ASSESSMENT

CHCCCS015 Provide individualised support

ASSESSMENT SUMMARY / COVER SHEET

Student Name: Ishwor Thapa

Student ID No: Roll no; 20 / Folder num; FS20

Final Completion Date:

Assessor Name: Nisha Bhatnagar

Unit Code/ Title CHCCCS015 Provide individualised support

Please attach the following documentation to this form Result

S = Satisfactory; NYS = Not Yet Satisfactory

Final Assessment Result for this unit C / NYC

C = Competent; NYC = Not Yet Competent

Assessor: I declare that I have conducted a fair, valid, Signature: ____________________________

Student Declaration: I declare that I have been assessed Signature:

Administrative use only

Student Assessment CHCCCS015 Page 1/16

ASSESSMENT TASK 1 – OBSERVATION & LOGBOOK

1. For this assessment, you are to be observed on 3 separate occasions (2 observations

Student Assessment CHCCCS015 Page 2/16

i. Carers and families

Your 3 observations will be observed as follows:

To be assessed on: _______________________

Student Assessment CHCCCS015 Page 3/16

ASSESSMENT TASK 2 – WRITTEN TEST

On the test date:

This assessment will be done on: _____________________

Student Assessment CHCCCS015 Page 4/16

ASSESSMENT TASK 2 – WRITTEN TEST

Please complete below

Student ID No: Date:

Student Assessment CHCCCS015 Page 5/16

Student Assessment CHCCCS015 Page 6/16

b. How you provided support services for the client, including:

Student Assessment CHCCCS015 Page 7/16

I developed and maintained trust with the client by;

Maintaining confidentiality and privacy of the client’s information

iv. If you sought any assistance throughout delivering the support

Student Assessment CHCCCS015 Page 8/16

Throughout the delivering of support, whenever I sought any assistance, I took

c. How you monitored your support activities, including:

I involved the client in discussion regarding their support by;

Student Assessment CHCCCS015 Page 9/16

5. How would you respect individual differences in people?

I would respect individual differences in people by;

6. To support a person’s self-determination what should you do?

Student Assessment CHCCCS015 Page 11/16

I should do the following to support a person’s self-determination;

-Respect their opinion and choices

7. What information do you need to keep confidential?

The informaiton that I need to keep confidential are;

To comply with the organization reporting requirements, I would;

Student Assessment CHCCCS015 Page 12/16

9. If you identify a situation of risk what should you do?

If I identify a situation of risk, then I would do the following:

2. Remove the risk in the event that you can

4. Fill up the episode structure

11. How should documentation be maintained?

Student Assessment CHCCCS015 Page 13/16

The documentation should be maintained by:

12. How would you store client information?

I would store the client information by:

Student Assessment CHCCCS015 Page 14/16

Result: Satisfactory / Not Yet Satisfactory