Recording Decisions Flashcards
What are the three frameworks that must be applied in all decisions?
The Structured Decision Making Framework, Human Rights Decision Making Framework, and relevant policies and practice directions.
These frameworks ensure that decision-making aligns with human rights obligations.
Why is structured decision-making mandatory for guardians?
It is a means for achieving the human rights of people with disabilities and is a legislative obligation under the Guardianship and Administration Act 2000.
This reflects the commitment to uphold the rights of individuals with disabilities.
What should guardians consider when making decisions?
Risks to the adult and OPG.
OPG refers to the Office of the Public Guardian.
When should a decision be recorded in a decision case?
When there is a reasonable likelihood of someone disagreeing with the decision, if the decision limits the adult’s human rights, or if the decision is considered significant.
Recording such decisions ensures accountability and transparency.
What is the Guardianship and Administration Act 2000?
It is a relevant legislation concerning guardianship decisions.
What is the Powers of Attorney Act 1998?
It is a relevant legislation concerning powers of attorney.
What is the Human Rights Act 2019?
It is a relevant legislation that supports human rights.
What is the Public Records Act 2002?
It is a relevant legislation concerning public records.
What must be applied in all guardianship decisions?
The Structured Decision Making Framework, Human Rights Decision Making Framework, and relevant policies and practice directions.
Why is structured decision-making mandatory for guardians?
It is a means for achieving the human rights of people with disabilities as per the Guardianship and Administration Act 2000.
What should guardians consider when making decisions?
Risks to the adult and OPG, especially if there is a likelihood of disagreement or limitation of human rights.
What is the purpose of this practice direction?
To guide guardians on how to record guardianship decisions in Resolve.
What types of decisions should be recorded as a decision case?
Decisions that limit human rights or are considered significant.
What decisions are excluded from this practice direction?
Health care procedures, mental health treatment, legal matters, and restrictive practices under specific acts.
What must guardianship decision-making accord with?
Guardianship decision-making must accord with the Guardianship and Administration Act 2000, human rights obligations, and relevant policies and practice directions.
What is required of guardians regarding decisions?
Guardians are required to make decisions, provide reasons for them, and properly record them.
Why are records of guardianship decisions important?
Records are important to explain to a client or their support network the reasons for a decision, inform future decisions, and support various reviews and reports.
What is a decision case designed to do?
A decision case is designed to record a guardianship decision in an easily accessible way, with all relevant information and a clear rationale.
How can some decisions be recorded to alleviate administrative workloads?
Some decisions can be recorded as a running note, rather than creating a decision case.
What types of decisions may be recorded in a running note?
Decisions that present a comparatively lower risk to the adult and OPG may be recorded in a running note.
What is the default recording method for a decision?
A decision should be recorded in a decision case.
What should guardians consider when recording a decision in a running note?
Guardians should consider possible risks to the adult and the risk of complaints or disagreement about the decision.
What specific decisions must always be recorded in a decision case?
Decisions where the views, wishes or preferences of the adult are unknown, or the decision does not align with the adult’s views, wishes or preferences.
This includes decisions likely to result in disagreement, require internal escalation, or are directed by the Team Leader or Regional Manager.
What are examples of decisions that must always be recorded in a decision case?
Accommodation decisions, contact decisions, restrictive practices in aged care decisions, NDIS decisions involving core support and support coordination, decisions to cease an NDIS provider, and Supported Independent Living (SIL) decisions.
SIL decisions may require two separate decisions: an accommodation decision and a service provision decision.
What criteria allow a decision to be recorded in a running note?
The decision is consent for a non-invasive assessment or information sharing, or the decision aligns with the views and preferences of the adult without objections or specific concerns.
What is an example of a decision that may be recorded in a running note?
Consent for an ACAT or OT assessment for accommodation/service provision/NDIS decision.
Or consent for a service provider to share and hold information as part of a service agreement.
What is mandatory for guardians in a decision case?
Guardians must complete every field in a decision case.
What information must be included in every decision case?
- Description of the adult’s circumstances leading to the decision.
- The decision options.
- Views of the adult and information from relevant stakeholders.
- Reasons if the adult’s views were not obtained.
- Reasons for excluding any interested party from consultation.
- Relevant information from professionals.
- Information from the Administrator (if applicable).
- A clear statement of the decision made.
- Explanation of alignment with the adult’s views.
- Explanation of risks if the decision does not align with the adult’s views.
- Explanation of how General Principles were applied if the decision does not align.
What should be included if the adult’s views were not obtained?
Detailed reasons why the adult’s views, wishes, and preferences were not obtained.
What is presumed in all guardianship decisions?
The Human Rights Act 2019 and General Principles are presumed to be applied.
Is it necessary to state that the Human Rights Act has been considered when no rights are limited?
No, there is no need to state that the Human Rights Act has been considered or applied.
Is it necessary to explain which human rights have been promoted by the decision?
No, it is not necessary to explain which human rights have been promoted.
What should be noted if the decision aligns with the adult’s views?
There is no need to explain that the General Principles have been applied.
What must a decision in a running note be recorded as?
A decision in a running note must be recorded as a ‘Running Note_Non complex Decision’ within the adult’s active case.
Why is it critical to record decisions in a running note?
It is critical for reporting and statistical purposes.
What is outdated terminology in the context of running notes?
The term ‘non-complex’ is outdated, as these decisions are not considered to be non-complex.
What minimum information must be included in a running note?
The following minimum information must be included:
1. Date of when the decision was made;
2. Summary of the decision and circumstances leading to the decision;
3. Relevant views, wishes and preferences expressed or demonstrated by the adult;
4. Relevant information from professionals and other interested parties;
5. Reference to other relevant documents or emails on file;
6. All relevant information relied upon for the decision must be documented in Resolve;
7. Where appropriate, details of where documentation relied upon can be found in Resolve.
What does the Human Rights Act 2019 pertain to in guardianship decisions?
It is presumed that the Human Rights Act 2019 is applied in all guardianship decisions.
When is it unnecessary to state that the Human Rights Act has been considered?
There is no need to state in the decision case that the Human Rights Act has been considered where no human rights are limited.
Is it necessary to explain which human rights have been promoted by the decision?
No, there is no need to explain which human rights have been promoted by the decision and why.
When is it unnecessary to explain the application of General Principles?
There is no need to explain that the General Principles have been applied where the decision aligns with the adult’s expressed or demonstrated views.
What must be recorded about the adult’s views, wishes, and preferences?
Information about the adult’s views, wishes, and preferences must be recorded in detail in all decision cases and running note decisions. If referring to information in other documents, the file name and details of where the documents are located on file should be included.
What should be considered if the adult’s views cannot be determined?
If the adult’s own expressed views, wishes, and preferences cannot be determined, but a third party has advised of them, possible conflicts of interest must be considered and documented in the decision.
What must be included if a decision is made without knowing the adult’s views?
A detailed explanation must be included in all decisions outlining the reasons why the adult’s views, wishes, and preferences could not be obtained directly.
What should be explained if the adult was not contactable and the decision was urgent?
Explain attempts made to contact the adult and reasons why the decision could not be delayed to allow further attempts.
What must be provided if the decision is urgent and views from the adult cannot be obtained?
Reasons must be provided to why phone or video contact is not sufficient or details of unsuccessful attempts to achieve this.
What details must be provided if the adult’s communication ability is severely impaired?
Details of the adult’s communication must be provided with an explanation of why alternative communication methods are also not suitable or practicable.
What must be completed in decision cases regarding client consultation?
The mandatory field ‘Client consulted’ must be completed accurately. ‘Yes’ should be selected when views have been obtained from the adult.
What should be included if views were obtained prior to the decision time?
Detail should be included reflecting when and how the views were obtained and why the guardian is satisfied the adult currently holds those views.
What should be selected if views were not obtained from the adult?
‘No’ should be selected where views were not obtained from the adult and the decision was made in the absence of the adult’s views.
What information should be included in a decision record regarding the adult’s circumstances?
Description of the adult’s circumstances which led to the need for the decision.
What decision-related information should be documented?
The decision options.
What stakeholder information is required in a decision record?
Views of the adult and information from relevant stakeholders, including when and how the information was obtained from each party.
What historical information can be included in a decision record?
Relevant historical information gathered prior to the time of the decision may be included here and can be relied upon to inform the decision.
What should be documented if the adult’s views were not obtained?
Include detailed reasons why this is the case.
What to include if an interested party was excluded from consultation?
Include reasons for the exclusion.
What professional information is relevant to a decision record?
Relevant information received from professionals, including copies of reports (e.g. ACAT assessments, social worker report).
What information from the Administrator should be included?
Information from the Administrator (if applicable).
What is required in the statement of the decision made?
A clear and concise statement of the decision made.
How to document alignment with the adult’s views?
If the decision aligns with the adult’s views, wishes and preferences, a brief statement explaining how the decision aligns.
What to include if the decision does not align with the adult’s views?
A detailed explanation of how an alternative decision would be an unreasonable risk to the adult’s health and welfare.
What justification is needed if the decision limits the adult’s human rights?
An explanation of how the General Principles were applied, and the justification for the limitation of the adult’s human rights.
What information should be included in a running note decision?
Date of when the decision was made.
What summary should be included in a running note decision?
Summary of the decision and circumstances leading to the decision.
What views should be documented in a running note decision?
Relevant views, wishes and preferences expressed or demonstrated by the adult (or likely views, wishes and preferences if they cannot be determined from the adult) and how these support the decision.
What professional information is relevant in a running note decision?
Relevant information from professionals and other interested parties.
What references should be included in a running note decision?
Reference to other relevant documents or emails which are on file.
What record-keeping expectations must be followed?
All relevant information relied upon for the decision must be documented in Resolve as per usual record-keeping expectations.
What details should be included regarding documentation in a running note decision?
Where appropriate, details of where documentation relied upon to make the decision can be found in Resolve should be included in the running note decision.
What must be recorded in decision cases regarding the adult’s views?
Information about the adult’s views, wishes and preferences must be recorded in detail.
What should be included if the adult’s views cannot be obtained directly?
A detailed explanation outlining the reasons why must be included.
What if a third party provides the adult’s views?
Possible conflicts of interest must be considered and documented in the decision.
What to document if the adult was uncontactable and the decision was urgent?
Explain attempts made to contact the adult and reasons why the decision could not be delayed.
What must be provided if the decision is urgent and views cannot be obtained?
Reasons must be provided for why phone or video contact is not sufficient or details of unsuccessful attempts.
What to include if the adult’s communication is severely impaired?
Details of the adult’s communication and an explanation of why alternative methods are not suitable.
What if consultation is determined not to be in the best interests of the adult?
An explanation must be included in the decision record.
What is the mandatory field that must be completed in decision cases?
The mandatory field ‘Client consulted’ must be completed accurately.
When should ‘Yes’ be selected for ‘Client consulted’?
‘Yes’ should be selected when views have been obtained from the adult, even if obtained prior to the decision.
What is an example of when ‘Yes’ should still be selected?
If information obtained from the adult during a previous home visit was used to inform the decision, then ‘Yes’ should be selected.
