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*** Please allow approximately 40 minutes to complete the LLN assessment, please ensure you read through the information carefully and record a response for each question, once completed and submitted there is no option to edit your answer if you make an error. Upon DP Training receiving your LLN assessment it will be marked by our assessor, you will receive a confirmation of acceptance to the course if the LLN is marked as satisfactory, if for any reason the LLN was not to the satisfaction of the assessor our training manager will contact you to discuss the options available to you.

DP Training recognises that reading, writing, listening, speaking and understanding mathematical concepts and processes are integral skills required for work and are therefore an important component of your training. As all students are individuals with different life experiences, literacy and numeracy skills vary.

As part of this pre-training review process, you are now required to complete a language, literacy and numeracy (LLN) exercise which will be used to assess your LLN ability to undertake the course. If you have a Language Literacy or Numeracy concern that is affecting your training program, we encourage you to raise the matter directly with your Trainer.

Directions to the student: Please read through the care plan below and answer the following questions 1-20. All questions must be answered and completed on your own. The result of the test below will be assessed and if your results are not to the satisfactory requirement to gain entry to the course, a representative from DP Training will speak to you about assistance that you may be able to access.

INDIVIDUAL SUPPORT PLAN (ISP) – ACCOMMODATION

“Important – Please read this first”

The Amended Privacy Act (2000) means we must take reasonable steps to ensure that you are aware that we may collect personal information from you.

The Act requires that all information obtained from you is:

• Collected by fair and honest means (without intimidation/deception),
• Stored in a safe and secure manner (access only with individual’s consent),
• Accurate and up-to-date,
• Able to be corrected if it is not accurate,
• Only used for the primary purpose for which it was collected (unless consent is provided from the individual / family member / carer / guardian / administrator / statutory health attorney to collect information for a secondary purpose) able to be accessed upon request unless special exemptions apply.

will only collect personal information that is relevant to:

• provide a quality service
• carry out its functions and activities
• identify emerging or future demand for services
• meet our statutory or legal requirements
• maintaining the highest level of safety and well being for the people we support

• You can choose someone you feel comfortable with to help you with all matters regarding the collection, storage, accessing and disposal of your information.
• we respect, absolutely your right to privacy and confidentiality, therefore your personal files are locked away securely and not available for everyone to look at.
• You or your appointed guardian or advocate can look at your information upon request at anytime.
• When your information is no longer needed it is destroyed by a certified shredding service.

Date: 13.09.19

PERSON’S DETAILS:

Name: John Adams
Date of birth: 22.11.1938
Phone: 0402 568 966
Address: 123 Rainbow Grove LITTLE JACKPOT 4444

Plan completed in consultation with:
John Adams – relationship: Person
Celia Adams – relationship: Wife
Mara Wise – relationship: Aged Care Liaison Officer

Caregiver Emergency Contact:

Name: Celia Adams Relationship: wife

Address: 123 Rainbow Grove LITTLE JACKPOT 4444

Phone: 0452 665 888

Other relevant information: Celia lives with John in their own home. He Has two (2) children that visit regularly. Children are not involved in development of plan, but are part of John’s support network.

COMMUNICATION:

Demonstrates understanding of simple directives?	☒ Yes ☐ No
Uses communication aids?	☒ Yes ☐ No
Communicates by signing?	☐ Yes ☒ No
Can indicate yes or no?	☒ Yes ☐ No
Is able to vocalise words?	☒ Yes ☐ No
Is able to hold a conversation?	☒ Yes ☐ No

Please describe the communication style and strategies the person uses. Are there any communication issues support staff need to be aware of? List any communication aids the person uses.

John has a mild hearing impairment and uses a hearing aid. The hearing aid is a ST02 model which requires an A22 battery. The hearing aid requires regular cleaning. Servicing is performed by Coast Audio metrics every 3 months (07 5444 2222) (January, April, July, October of each year). Communication will be affected if he does not wear his hearing aid – he does sometimes feel isolated because of this.

Do you have any health needs relevant to your support?
☒ Yes ☐ No

Details of health concerns (Relevant management plans to be attached):

John has acquired Type 2 Diabetes – this is managed by diet planning and Metformin medication. He does not use Insulin at this stage. His sugar levels are checked daily

If YES to any of the following, please provide a management plan for the health issue.

Asthma?	☐ Yes ☒ No	Does the person carry an Inhaler?	☐ Yes ☒ No
Anaphylaxis?	☐ Yes ☒ No	Does the person carry an Inhaler?	☐ Yes ☒ No
Diabetes?	☒ Yes ☐ No	Does the person use Insulin?	☐ Yes ☒ No
Epilepsy (or other seizure types)?	☐ Yes ☒ No

Our staff are encouraged to call an ambulance if there is any doubt as to the well-being of the people we support.

MEDICATION:

A signed medication consent form and a medication information form must be completed if medication administration is required during support. If the person elects not to give information about their medication, an ‘Option – Not to Provide Medication Details’ form must be completed. Staff will not administer medication without both the medication consent and medication information being completed.

Is assistance required to administer medication?
☒ Yes ☐ No

Medication	Dose & Strength	Time of administration	Reason for prescription
Metformin	2 x 2mg	0700, 1800	Management of blood sugar levels
Fish oil	2 cap x 3	0700,1200,1800	Heart health, joint health

Please describe level of support required: Medication is provided in a webster pack. John will need assistance to administer tablets from the pack. He can swallow medication with water, prefers to have with his cup of tea.

Does the person have any allergies?
☐ Yes ☒ No

Please describe allergies & affects of exposure.

Please provide details of the person’s health professional:

Name: Dr Big Mojo

Address: Coast Medical Centre, Main Rd

Phone: 07 5224 5887

Does the person have any hearing or vision issues?
☒ Yes ☐ No

Describe (including aids used):

Uses a hearing aid – please see ‘communication’.

Does the person have mobility issues?
☒ Yes ☐ No

Has a Safety Assessment been completed?
☒ Yes ☐ No

Describe any mobility/transfer issues (include any physical aids required):

John requires assistance to stand from a seated position, John uses a walking stick to support his mobility

DIETARY CONSIDERATIONS:

Please describe any considerations regarding diet:

John requires a dietary plan suitable for Type 2 Diabetes to be adhered to. He has twice-yearly contact with his dietitian (April & October). (Trish Brogan 07 5669 8554) See menu plan supplement.

OTHER HEALTH CONSIDERATIONS (exercise, illnesses etc that relate to support):

John likes to be active. He enjoys visits to the beach. His skin will have to be monitored closely during personal care tasks due to the diabetes. Some form of exercise therefore, is important. He may also have to be reminded to eat enough during the day.

DOES THE PERSON HAVE ANY APPROVED RESTRICTIVE PRACTICES IN PLACE?
☐ Yes ☒ No (If YES, a copy of approved Positive Behaviour Support Plan is found in person’s file)

DOES THE PERSON DISPLAY ANY BEHAVIOUR THAT CAUSES HARM (to self or others)?
☐ Yes ☒ No

Please describe behaviour in detail – including triggers, frequency, intensity & consequences:

Please describe strategies used to manage behaviours:

DOES THE PERSON DISPLAY ANY OTHER BEHAVIOURS OF CONCERN
(that do not necessarily cause harm)?
☐ Yes ☒ No

Please describe behaviour in detail – including triggers, frequency, intensity & consequences:

Please describe strategies used to manage behaviours:

WHAT LEVEL OF SUPERVISION IS REQUIRED FOR THE FOLLOWING AREAS:

Personal Care (including dressing, bathing, toilet assistance, hygiene)	Will need assistance with showering and shaving. Can brush his own teeth independently. Is very conscious of looking ‘well presented’.
Mobility (including transfers, transport, stairs)	Does require assistance with mobility to stand form seated position. Uses a walking stick. This will be reassessed if needs change.
Communication (including style, sign, eye pointing, language)	Can communicate well, but sometimes need to be reminded to wear his hearing aid.
Learning (Including retention, skills building)	Has full cognition.
Independent Living Skills (including housework, meal preparation, meal management, home maintenance, laundry, shopping, menu planning, cooking)	John’s wife continues to perform most household tasks.
Community & Economical (including finance management, budgeting, social skills, traffic skills, public transport use, absconding, budget)	Has full cognition. However if not wearing his hearing aid, may be at risk of traffic hazards.
Interpersonal Relationships	Is a very personal man and enjoys meeting new people.

DOES THE PERSON HAVE ANY CULTURAL ISSUES RELATING TO THEIR SUPPORT?

Please describe: None noted. However we would expect staff to show due respect when working in a person’s home. John’s wife is able to perform most of the caring tasks that he requires. We should always recognise her role and expertise in the caring of John.