CHC52015 Work Placement Student Task Book B-2

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 3 of 130 Student Details Student Name Address Suburb State Post Code Contact Number/Email Emergency Contact Name Relationship to student: Emergency Contact Details Work Placement Details Workplace Provider Name Work placement Address Workplace Supervisor (1) Name Contact Number / Email Relevant qualifications held in this industry Length of time working in this industry Workplace Supervisor (2) Name (if another Supervisor is designated) Contact Number / Email Relevant qualifications held in this industry Length of time working in this industry Work Placement Assessor Details Workplace Assessor Name Contact number/email

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 6 of 130 General Instructions ........................................................................................................................ 19 The Work Placement Booklet Overview ........................................................................................ 20 Workplace Observation Report ....................................................................................................... 21 Instructions for the Student .......................................................................................................... 21 Workplace Mentor/Supervisor Instructions .................................................................................. 21 Trainer Instructions ......................................................................................................................... 22 Learner Attendance Sheet (Log Sheet Part B) .................................................................................. 23 CHCDEV001 Confirm Client Developmental Status ........................................................................... 25 A. Activity Tasks .......................................................................................................................... 25 Task 1: Client developmental status ................................................................................................ 25 B. Learner performance self-appraisal .......................................................................................... 29 C. Supervisor Report .................................................................................................................... 31 Assessment Activity Outcome Record (by the Trainer/Assessor) ...................................................... 32 CHCCCS004 Assess Co-existing Needs .............................................................................................. 33 A. Activity Tasks .......................................................................................................................... 33 Task 2: Assess Co-existing Needs .................................................................................................... 33 B. Learner performance self-appraisal .......................................................................................... 44 C. Supervisor Report .................................................................................................................... 46 Assessment Activity Outcome Record (by the Trainer/Assessor) ...................................................... 47 CHCCSM004 Coordinate Complex Case Requirements ...................................................................... 48 A. Activity Tasks .......................................................................................................................... 48 Task 3: Coordinate Complex Case Requirements ............................................................................. 48 B. Learner performance self-appraisal .......................................................................................... 58 C. Supervisor Report .................................................................................................................... 60 Assessment Activity Outcome Record (by the Trainer/Assessor) ...................................................... 61 CHCCSM005 Develop, Facilitate and Review all Aspects of Case Management .................................. 62 A. Activity Tasks .......................................................................................................................... 62 Task 4: Case Management Interviews ............................................................................................. 62 B. Learner performance self-appraisal .......................................................................................... 79 C. Supervisor Report .................................................................................................................... 81 Assessment Activity Outcome Record (by the Trainer/Assessor) ...................................................... 82 CHCCSM006 Provide Case Management Supervision ........................................................................ 83 A. Activity Tasks .......................................................................................................................... 83 Task 5: Provide Case Management Supervision ............................................................................... 83 B. Learner performance self-appraisal .......................................................................................... 87 C. Supervisor Report .................................................................................................................... 89 Assessment Activity Outcome Record (by the Trainer/Assessor) ...................................................... 90 CHCCDE011 Implement community development strategies ............................................................ 91

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 9 of 130 List of units covered in work placement booklet are: This unit describes the skills and knowledge required to review the developmental status of a client. Note that the client may be a child or a young person. Work at this level may require guidance and/or supervision from appropriately qualified personnel, especially where provision of direct client services is involved. This unit applies to people working in a range of community service contexts including: juvenile justice, alcohol and other drugs services, mental health, and child protection. The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards and industry codes of practice 1. CHCDEV001 - Confirm client developmental status This unit describes the skills and knowledge required to review the developmental status of a client. Note that the client may be a child or a young person. Work at this level may require guidance and/or supervision from appropriately qualified personnel, especially where provision of direct client services is involved. This unit applies to people working in a range of community service contexts including: juvenile justice, alcohol and other drugs services, mental health, and child protection. The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards and industry codes of practice. 2. CHCCCS004 - Assess Co-existing Needs This unit describes the skills and knowledge required to assess the diverse and multi-faceted needs of people and determine both internal and external services required to meet those needs. This unit applies in a range of community service contexts. The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards and industry codes of practice 3. CHCCSM004 - Coordinate Complex Case Requirements This unit describes the skills and knowledge required to coordinate multiple service requirements for clients with complex needs within a case management framework. Workers at this level work under supervision within established guidelines but take on a team leadership role in the coordination of services and service providers. This unit applies to work in a range of health and community services contexts. The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards and industry codes of practice 4. CHCCSM005 - Develop, Facilitate and Review all aspects of Case Management This unit describes the skills and knowledge required to undertake case management meetings to plan, monitor and review service provision. Workers at this level work autonomously and are responsible for own outputs within organisation guidelines. This unit applies to work in a range of health and community services contexts. The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards and industry codes of practice. 5. CHCCSM006 - Provide Case Management Supervision This unit describes the skills and knowledge to take a leadership role in the delivery of quality case management. This includes disseminating information and providing advice on practice issues relating to

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 12 of 130 Work placement supervisor ’s role and responsibilities The role and responsibilities of the work place supervisor are to: • Explain the workplace requirements to the learners in relation to the amount of workplace hours that they must put in. prior to the commencement of the training • Support the learner daily and actively encourage the learner to achieve their specific objectives • Ensure that the learner is adequately briefed on the work place policies and procedures • Take responsibility for the general supervision and educational development of the learner whilst they are training (or to delegate this to an appropriate person) • Ensure the learner is not utilised as a rostered staff member when training activities are planned • Notify Hammond Institute work place coordinator immediately if the learner is not making satisfactory progress • keep a track of the learner’s attendance at the workplace. • Provide feedback on the learner’s level of skills during the work placement training and provide summative comments at the conclusion. • Please see below for instructions on how to score the Learner. Level of skill Provide a level of skill: NA, 1 Has no skill 2 Minimum skill 3 Mostly skilled 4 Skilled 5 Able to support others • The supervisor will not have the responsibility to deem competency for any unit of competency. Role and responsibilities of the Hammond Institute Trainer and Assessor The role and responsibilities of the Hammond Institute Work Place Trainer and Assessor is to: • Ensure a Training Agreement between the work place and Hammond Institute is in place • Ensure all relevant legal documents covering such things as insurances, Indemnity, Work Cover etc. are completed so that Hammond Institute, the learner and the workplace aware of each other’s responsibility. • Provide the work place supervisor with resource materials and course information as required in consultation with the work place supervisor. • Arrange the assessment of each learner and devise appropriate strategies where problems arise during training • Mediate and negotiate where necessary to resolve any conflict or issues that arise between parties and to bring such issues to the attention of Hammond Institute management • Liaise and meet with the work place managers and the learner to evaluate the work placement component during the work placement visits.

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 15 of 130 Attitude Towards Placement Having the right attitude towards placement and your placement host is extremely important. You will need to: • Complete all jobs that are assigned to you by your supervisor • Tell your supervisor when you are unsure about what you are doing • Listen to any instructions that you are given and ask questions • Be happy to learn • You always need to be well-mannered and polite with all staff members, residents and the family members • Always wear your Hammond Institute polo shirt, black pants and enclosed shoes • Ensure your presentation is clean and professional • If you ae a smokers, you must follow the organisation policies regarding to smoking areas. Punctuality, Attendance and Reliability at Placement Employers will expect you to be reliable and punctual to all your shifts. You will be required to: • Arrive to placement 15 minutes early each day • If for any reason, you cannot attend placement you need to contact both the Placement Coordinator and your placement host immediately and provide both with a medical certificate for that day • If you are running late for a shift, contact your placement to let them know as soon as possible • Only take the allocated time for breaks, taking too long for breaks will reflect badly on your performance Medical Issues If there are any medical conditions that you may have that could affect your performance while attending placement, then you will need to inform both the Placement Coordinator at Hammond Institute and your contact person at placement. This is because if anything happens while out on placement an action plan will need to be in place to deal with it. A medical certificate will need to be obtained to cover any time lost on placement, as well as a medical clearance to return to your placement. Dress Code When attending placement, you are representing Hammond Institute and you are required adhere to the dress code that we have in place. You are required to wear: 1. Plain polo-shirts (preferred) ; not low or plunging necklines 2. Black or dark coloured pants (not short skirts, shorts, leggings, track pants or ripped pants) Leggings can look very unprofessional as they are too tight, jeans are very restrictive, and you will not have a full range of movement, track pants look very unprofessional, and skirts are not appropriate attire for any of these industries. Even if other staff are wearing them, you may not. You may not wear ripped or torn pants as; again, it looks unprofessional. You must wear enclosed non-slip shoes as this is a workplace health and safety requirement. This can be runners, ballet flats, almost anything. If they won’t fall off, your feet are covered, they have a non - slip sole and they don’t have a high heel then you will be fine. If you do not wear appropriate footwear (i.e. thongs) then you will be sent home and that day will not count towards your hours at placement. You need to wear your ID card always while out on placement. As was stated previously, it will assist the staff members at your placement to learn your name and for clients (in the aged care and disability industries) to do the same. Be mindful of personal appearance and hygiene. Hair should be tied back neatly, and personal hygiene is a priority.

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 18 of 130 Practical Work Placement Non-Compliance Falling Behind If you fall behind in your hours (due to illness etc.) you will be required to make those hours up, either during the school holidays (excluding the Christmas holidays when the office is shut) or once you have completed your classes. If you do not keep up with your hours, your trainer will be unable to complete their observations. Please note that this will result in you not completing your program. You will also be required to fill in an extension to your enrolment form. This will ensure that your funding continues, and you will not be withdrawn from the program. If you continually avoid completing your placement hours then you will be required to defer from the course as you would not be meeting the course requirements. If you do not contact the office, to inform them of your intentions, your enrolment will be cancelled. Please note that it is not up to your trainer to chase you up. If cancellation occurs, you will be required to re- enrol which comes at a cost. Unacceptable Behaviour Please note that the following is defined as unacceptable behaviour: • Rudeness to staff, other students, clients, residents, children or young persons and trainers • Failure to comply with service Occupational Health and Safety requirements • Breach of duty of care • Using mobile phones, mp3 players during shifts • Breach of privacy and confidentiality. This could be either by disclosing private information including names of students, staff, clients, residents, children or young persons, or trainers, the name of any facility or centre, or discussing any incident that may have occurred there. • Possession of banned substances, or appearing under the influence of banned drugs • Not responding to requests from the Director addressing any issues • Failure to comply with Hammond Institute policies and procedures • Lack of notification to Director and Hammond Institute regarding change of shifts • Continuously leaving placement early or arriving late • Taking photos of staff, students, clients, or children or young persons without having written consent – Consent forms can be found on our website under downloads; and obtaining written consent and completing relevant forms at your work placement. • Discussing details of staff, students, clients, children or young persons or incidents on any form of social media Any students displaying unacceptable behaviour will need to have a meeting with the practical Placement Coordinator and the training manager to discuss the issue and find a resolution. If a student is found with or on banned substances (i.e. intoxicated, under the influence of drugs), as stated previously, you will be asked to leave and be required to report to head office immediately which may result in the cancellation of your enrolment. Change of Work Placement / Host Employer We do not encourage you to change your work placement service or host employer. However, if your circumstances change and/or for some reasons, you intend to change your work placement service or host employer, you must discuss this with the Work Placement Coordinator or your trainer/assessor in order to arrange the necessary documentations. Your health and safety is our concern and we must have all necessary documents in place to facilitate your transfer to another host employer.

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 21 of 130 Workplace Observation Report Observation evidence is a practical way of supporting someone’s claim for competence. Your Assessor will observe your knowledge and skills based on your actual work performance over a period of time. This assessment is conducted on the job after practical placement has been undertaken. Note to the Learner: 1. The Assessor completes the observation tools during the workplace assessment 2. The Assessment tools describe the assessment tasks and criteria for assessment, and are used to record the As- sessor’s observations and outcomes of workplace assessment tasks Instructions for the Student • The activity tasks are provided and must be completed during work placement period and in consultation with your supervisor and where required, trainer/assessor. • Once you have completed the tasks, you must sign at the end of the activity tasks and have it witnessed by your supervisor. • It is appropriate if you feel that you need more time to complete each task, however, at a minimum, you must complete them and submit to your trainer so that your workplace-based assessments (Observations) will be conducted. • It is your responsibility to ensure that all tasks requirements are completed as per the instructions provided for each task. Remember to ask as many questions as you feel necessary, to your allocated Workplace Mentor/Su- pervisor and/or Trainer/Assessor. Each Learner requires an individual approach to all sections and your confi- dence during this process should be at your comfort level and not at the expectation of your peers. • Y ou must complete the ‘Student performance self - appraisal’. The self -appraisal provides you the opportunity to evaluate your own performance and provide your feedback. • Your Workplace Mentor/Supervisor must also complete the ‘Supervisor Report’. • Upon completion of the above, you must submit the Work Placement Activities Booklet to your trainer who will confirm whether or not you are ready to be assessed/observed in the workplace. • This Workbook must be signed off by yourself and your Supervisor, to be accepted as evidence of participation of the required training hours in your training plan, and before an observation assessment can be conducted. • Our staff will coordinate and advise you (via sms or email) of the observation assessment, the name of your Workplace Assessor (if different from your Trainer), date and time allocated. Please advise your Workplace Su- pervisor about these details to ensure that he/she is informed. Workplace Mentor/Supervisor Instructions • The Learner is required to complete a series of tasks, as part of their on-the-job practical learning journey. The tasks have specific requirements which the Learner must complete under your supervision, during their ros- tered shifts. • The Learner is required to reflecting on their work shift and own performance (Self-appraisal). • At the end of each shift, you must co- sign the Learner’s entries in the Logbook Sheet (A&B) to confirm the Learner has undertaken the task and has accurately recorded the shift’s hours. • Please provide tasks to the Learner that are safe to do. If at any time the Learner raises a workplace issue, please contact the Trainer/Assessor or RTO representative for support. • To capitalise on the workplace experience, it is highly recommended that the Learner conduct a variety of dif- ferent shifts, where applicable, across all designated areas. This ensures the Learner has full access to the place- ment objectives and experiences and creates a diverse Learner. • Please provide comments/feedback and sign- off. This provides the opportunity to evaluate the Learner’s level of skill and performance.

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 22 of 130 • In circumstances where other Supervisors have been allocated across different shifts, the Workplace Supervisor should determine the most suitably fit and skilled worker, to complete the appraisal. This can be done in col- laboration with all associated staff who have supervised the Learner, to gain accurate feedback. Trainer Instructions • Once the learner has completed the on-the-job practical tasks, check all entries made by the student as well as the Self-Appraisal sections. • Ensure all work tasks in the spaces provided are completed and that they are relevant. Where supporting evi- dence is required, ensure that they are submitted by the student. • You must check if both Supervisor ’s and Student ’s signatures have signed on the re levant sections of the book- let(s). • Provide your feedback and sign; this will mean that the student is ready for workplace assessment. • Confirm learner performance and tasks with the workplace Supervisor, if required. • Provide constructive feedback to the learner and Supervisor on student progressions skills gaps and learning adaptive techniques. • Submit this booklet to the Student Admin. team to confirm that the student is ready for workplace observa- tion/assessment. • The Student Admin. team will coordinate the processes and schedules for the workplace assessment/observa- tion with the Work Placement Assessor. • If required, communicate with the Work Placement Assessor to provide or obtain update/feedback on student’s work placement performance.

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 23 of 130 Learner Attendance Sheet (Log Sheet Part B) You are required to complete 100 hours work placement hours for this course. Work Placement hours: Supervisor Name : Start Date: Finish Date: Date Start Time End Time Total Hours (excluding lunch break) Supervisor Signature Comments (by Supervisor)

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 24 of 130 Total Hours Trainer Name Trainer Signature

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 25 of 130 CHCDEV001 Confirm Client Developmental Status A. Activity Tasks Task 1: Client developmental status Task Description: This work placement task requires the student to demonstrate their skills and knowledge required to review the developmental status of a client. Note that the client may be a child or a young person. Work at this level may require guidance and/or supervision from appropriately qualified personnel, especially where provision of direct client services is involved. In order to do this the student will be required to: a) apply knowledge of human development to check client’s developmental status and identify any developmental issues b) refer to or sought assistance from an appropriate person or authority in relation to variations from normal functioning c) comply with mandatory reporting requirements where appropriate. Task A The student is required to observe and question at least one (1) client and their family and document information relevant to the developmental status of the client. You must confirm client’s developmental status prior to delivering services and identify variations from normal development status and recognise and refer potentially serious issues in line with organisational requirements. The student is required to completed this task during work placement where possible, and if not, then in a simulated environment within the work placement that can utilise the relevant equipment and resources of the working environment, using a situation that relates to the below outlined activities. To complete this workplace task, students are required to fill in the below template:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 26 of 130 Client information form Name: Age: Sex: Developmental status: Developmental Issues: Appropriate strategies:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 27 of 130 Task B The student is required to refer to or sought assistance from an appropriate person or authority in relation to variations from normal functioning. This is in continuation to the previous workplace assessment activity. Client information form Client referred to: How assistance is provided: Client’s developmental status (progress): Appropriate strategies:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 28 of 130 Task C The student is required to comply with mandatory reporting requirements where appropriate. Your workplace supervisor will provide you information regarding the following: • Policies and procedures • When and how the mandatory requirements should be done You are then required to fill the attached form for at least one (1) occasion where mandatory reporting is required. Reporter’s name Mandatory reporting requirements: When and how this is done

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 29 of 130 B. Learner performance self-appraisal For each of the following items, please mark the box in the rating scale that most closely corresponds to your evaluation of your performance on that item as part of your ‘on the job’ performance. Please also feel free to offer comments and suggestions for changes and improvements in the spaces provided. 1 = Poor 2 = Below Average 3 = Fair 4 = Good 5 = Excellent Evaluation items 1 2 3 4 5 1. Quality of Work The degree to which your work was thorough, accurate, and completed in a timely manner.      Comments: 2. Ability to learn The extent to which you asked relevant questions; sought out additional information from appropriate sources; understood new concepts, ideas, and work assignments; and were willing to make needed changes and improvements.      Comments: 3. Initiative and creativity The degree to which you were self-motivated; sought out challenges and/or more work; approached and solved problems on your own; and developed innovative and creative ideas, solutions, and/or options.      Comments: Supervisor’s comments (if any): Student’s performance in the workplace task S NYS Supervisor’s Name: Supervisor signature: Date:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 30 of 130 4. Professionalism The extent to which you demonstrated a confident and positive attitude; exhibited honesty and integrity on the job; were aware of and sensitive to ethical and diversity issues; and behaved in an ethical and professional manner.      Comments: 5. Dependability The degree to which you were reliable; followed instructions and appropriate procedures; were attentive to detail; and required supervision.      Comments: 6. Attendance and Punctuality The degree to which you reported to work as scheduled and on-time.      Comments: 7. Organisational fit The extent to which you understood and supported the organisation’s mission, vision, and goals; adapted to organisational norms, expectations, and culture; and functioned within appropriate authority and decision- making channels      Comments: 8. Response to supervisor The degree to which you sought supervision when necessary; were receptive to constructive criticism and advice from your supervisor; implemented suggestions from your supervisor; and were willing to explore personal strengths and areas for improvement      Comments:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 31 of 130 C. Supervisor Report Learner declaration I am familiar with the requirements and their application in the workplace. The answers I have provided are my own and represent the knowledge and skills I have developed whilst on the job. The Self-appraisal I have made represent my honest self-assessment of my skill levels whilst on the job. I confirm these are my entries and are true and accurate reflection of myself. I have completed the required tasks and consulted with my Supervisor regarding readiness for assessment before contacting my assessor for workplace assessment. Supervisor’s score of the learner’s performance in the workplace tasks: Level of skill Provide a level of skill by encircling the appropriate number: NA, 1 Has no skill 2 Minimum skill 3 Mostly skilled 4 Skilled 5 Able to support others In your opinion did the Learner perform tasks to the standard expected?  Yes  No Is the learner ready for assessment?  Yes  No Supervisor Comments: Declaration : I am familiar with the competency standards and their application in the workplace. The responses I have made above represent my honest assessment of the candidate’s skill levels for assistance in judgement of satisfactory knowledge and performance to standards expected in the industry Supervisor’s Name: Supervisor ’s signature: Date: Student’ s Name: Student’s signature: Date:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 32 of 130 Assessment Activity Outcome Record (by the Trainer/Assessor) Unit of competency CHCDEV001 Confirm Client Developmental Status Student’ s Declaration • I declare that the answers I have provided are my own work; where I have accessed information from other sources and the information is not my own, I have provided referenced and/or links to my sources. • I have kept a copy of all relevant notes and reference materials that I used as part of my submission. • I understand that if I disagree with the assessment, I can appeal the assessment process, and either re-submit additional evidence or undertake gap training and/or have my submission re-assessed. • I understand that there are two (2) assessment attempts and that all appeal options have been explained to me. • I have received clear instructions about work placement requirements, the evidence collection process and the roles of assessor and supervisor. Student’s Name: Student’s Signature: Date: Based on the evidence gathered during the training and assessment process I, the undersigned, agree the assessment was valid, reliable, flexible and fair. Assessment Activity Satisfactory Date More evidence Date A. Activity Tasks ☐ ____/____/____ ☐ ____/____/____ B. Learner performance self- appraisal ☐ ____/____/____ ☐ ____/____/____ C. Supervisor Report ☐ ____/____/____ ☐ ____/____/____ Context detail (Assessor to record) Attempt 1 _ ___/____/____ Attempt 2 ____/____/____ Appeals: If you receive a Not Satisfactory assessment result you have the right to appeal. You have two assessment attempts. Assessor feedback to learner: The Assessor must write full feedback to the learner that is constructive and not generic. Assessor’s Declaration I have provided clear instructions to the student and the supervisor regarding the type and the quantity of evidence to be collected and reported on. I hold:  Vocational competencies at least to the level being delivered  Current relevant industry skills  Current knowledge and skills in VET, and undertake  Ongoing professional development in VET I declare that I have assessed the student’s su bmission. The assessment tasks were deemed current, sufficient, valid and reliable. I declare that I have conducted a fair, valid, reliable and flexible assessment. I have provided feedback to the stu- dent. Assessor ’s Name: Assessor ’s Signature: Date: ____/____/____

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 33 of 130 CHCCCS004 Assess Co-existing Needs A. Activity Tasks Task 2: Assess Co-existing Needs Task Description: This work placement task requires the student to assess the diverse and multi-faceted needs of people and determine both internal and external services required to meet those needs. In order to do this the student will be required to: a) assess and appropriately respond to the requirements of at least 3 people presenting with co-existing needs b) evaluate assessment and referral processes c) use analytical and critical thinking skills in each case: • applying a strengths-based approach to assessment • analysing information about co-existing issues • making evidence- based judgements about the person’s needs Task A The student is required to assess and appropriately respond to the requirements of at least 3 people presenting with co-existing needs. To complete this workplace task, students are required to fill in the below template:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 34 of 130 Assessment - Client 1 Client name Age Context of assess- ment: Suitable assessment process: Provide explanation of: • roles and re- sponsibilities of different people • impact of the setting on the pro- cess • roles and types of as- sessment tools • ways of col- lecting infor- mation • validity and reliability re- quirements • reporting re- quirements and formats

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 35 of 130 Nature and impact of diverse and multi- faceted needs and is- sues affecting client groups, and poten- tial interrelation- ships between them. Common service re- quirements and basic features of those services Networks and spe- cialist services Legal and ethical considerations

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 36 of 130 Assessment - Client 2 Client name Age Context of assess- ment: Suitable assessment process: Provide explanation of: • roles and re- sponsibilities of different people • impact of the setting on the pro- cess • roles and types of as- sessment tools • ways of col- lecting infor- mation • validity and reliability re- quirements

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 37 of 130 • reporting re- quirements and formats Nature and impact of diverse and multi- faceted needs and is- sues affecting client groups, and poten- tial interrelation- ships between them. Common service re- quirements and basic features of those services Networks and spe- cialist services Legal and ethical considerations

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 38 of 130 Assessment - Client 3 Client name Age Context of assess- ment: Suitable assessment process: Provide explanation of: • roles and re- sponsibilities of different people • impact of the setting on the pro- cess • roles and types of as- sessment tools • ways of col- lecting infor- mation

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 39 of 130 • validity and reliability re- quirements • reporting re- quirements and formats Nature and impact of diverse and multi- faceted needs and is- sues affecting client groups, and poten- tial interrelation- ships between them. Common service re- quirements and basic features of those services Networks and spe- cialist services Legal and ethical considerations

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 40 of 130 Task B The student is required to select a client from Task A and refer to or sought assistance about him/her from an appropriate person or authority in relation to variations made in the client assessment. This is in continuation to the previous workplace assessment activity. Client information form Client referred to: How assistance is provided: Client’s developmental status (progress):

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 41 of 130 Appropriate strategies: Task C The student is required to use analytical and critical thinking skills in each case: • applying a strengths-based approach to assessment Strength-based approach Actions Outcome Lead/Responsibility

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 42 of 130 • analysing information about co-existing issues Details of co-existing issues Analysis on co-existing issues

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 43 of 130 • making evidence-based judgements about the person’s needs Person’s needs Evidence based judgements Your supervisor/assessor will assess you on the demonstration of the above mentioned guidelines. Supervisor’s comments (if any): Student’s performance in the workplace task S NYS Supervisor’s Name: Supervisor signature: Date:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 44 of 130 B. Learner performance self-appraisal For each of the following items, please mark the box in the rating scale that most closely corresponds to your evaluation of your performance on that item as part of your ‘on the job’ performance. Please also feel free to offer comments and suggestions for changes and improvements in the spaces provided. 1 = Poor 2 = Below Average 3 = Fair 4 = Good 5 = Excellent Evaluation items 1 2 3 4 5 1. Quality of Work The degree to which your work was thorough, accurate, and completed in a timely manner.      Comments: 2. Ability to learn The extent to which you asked relevant questions; sought out additional information from appropriate sources; understood new concepts, ideas, and work assignments; and were willing to make needed changes and improvements.      Comments: 3. Initiative and creativity The degree to which you were self-motivated; sought out challenges and/or more work; approached and solved problems on your own; and developed innovative and creative ideas, solutions, and/or options.      Comments: 4. Professionalism The extent to which you demonstrated a confident and positive attitude; exhibited honesty and integrity on the job; were aware of and sensitive to ethical and diversity issues; and behaved in an ethical and professional manner.      Comments: 5. Dependability The degree to which you were reliable; followed instructions and appropriate procedures; were attentive to detail; and required supervision.     

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 45 of 130 Comments: 6. Attendance and Punctuality The degree to which you reported to work as scheduled and on-time.      Comments: 7. Organisational fit The extent to which you understood and supported the organisation’s mission, vision, and goals; adapted to organisational norms, expectations, and culture; and functioned within appropriate authority and decision-making channels      Comments: 8. Response to supervisor The degree to which you sought supervision when necessary; were receptive to constructive criticism and advice from your supervisor; implemented suggestions from your supervisor; and were willing to explore personal strengths and areas for improvement      Comments:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 46 of 130 C. Supervisor Report Learner declaration I am familiar with the requirements and their application in the workplace. The answers I have provided are my own and represent the knowledge and skills I have developed whilst on the job. The Self-appraisal I have made represent my honest self-assessment of my skill levels whilst on the job. I confirm these are my entries and are true and accurate reflection of myself. I have completed the required tasks and consulted with my Supervisor regarding readiness for assessment before contacting my assessor for workplace assessment. Supervisor’s score of the learner’s performance in the workplace tasks: Level of skill Provide a level of skill by encircling the appropriate number: NA, 1 Has no skill 2 Minimum skill 3 Mostly skilled 4 Skilled 5 Able to support others In your opinion did the Learner perform tasks to the standard expected?  Yes  No Is the learner ready for assessment?  Yes  No Supervisor Comments: Declaration : I am familiar with the competency standards and their application in the workplace. The responses I have made above represent my honest assessment of the candidate’s skill levels for assistance in judgement of satisfactory knowledge and performance to standards expected in the industry Supervisor’s Name: Supervisor’s signature: Date: Student’ s Name: Student’s signature: Date:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 47 of 130 Assessment Activity Outcome Record (by the Trainer/Assessor) Unit of competency CHCCCS004 Assess Co-existing Needs Student’s Declaration • I declare that the answers I have provided are my own work; where I have accessed information from other sources and the information is not my own, I have provided referenced and/or links to my sources. • I have kept a copy of all relevant notes and reference materials that I used as part of my submission. • I understand that if I disagree with the assessment, I can appeal the assessment process, and either re-submit additional evidence or undertake gap training and/or have my submission re-assessed. • I understand that there are two (2) assessment attempts and that all appeal options have been explained to me. • I have received clear instructions about work placement requirements, the evidence collection process and the roles of assessor and supervisor. Student’s Name: Student’s Signature: Date: Based on the evidence gathered during the training and assessment process I, the undersigned, agree the assessment was valid, reliable, flexible and fair. Assessment Activity Satisfactory Date More evidence Date A. Activity Tasks ☐ ____/____/____ ☐ ____/____/____ B. Learner performance self- appraisal ☐ ____/____/____ ☐ ____/____/____ C. Supervisor Report ☐ ____/____/____ ☐ ____/____/____ Context detail (Assessor to record) Attempt 1 _ ___/____/____ Attempt 2 ____/____/____ Appeals: If you receive a Not Satisfactory assessment result you have the right to appeal. You have two assessment attempts. Assessor feedback to learner: The Assessor must write full feedback to the learner that is constructive and not generic. Assessor’s Declaration I have provided clear instructions to the student and the supervisor regarding the type and the quantity of evidence to be collected and reported on. I hold:  Vocational competencies at least to the level being delivered  Current relevant industry skills  Current knowledge and skills in VET, and undertake  Ongoing professional development in VET I declare that I have assessed the student’s su bmission. The assessment tasks were deemed current, sufficient, valid and reliable. I declare that I have conducted a fair, valid, reliable and flexible assessment. I have provided feedback to the stu- dent. Assessor ’s Name: Assessor ’s Signature: Date: ____/____/____

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 48 of 130 CHCCSM004 Coordinate Complex Case Requirements A. Activity Tasks Task 3: Coordinate Complex Case Requirements Task Description: This work placement task requires the student to demonstrate their skills and knowledge required to coordinate multiple service requirements for clients with complex needs within a case management framework. In order to do this the student will be required to: a) plan and coordinate multiple resources, services and supports for 3 clients with complex needs Task A The student is required to plan and coordinate multiple resources, services and supports for 3 clients with complex needs. To complete this workplace task, students are required to fill in the below template:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 49 of 130 Assessment - Client 1 Client name Age Complex needs: Suitable assessment process: Provide explanation of: • roles and re- sponsibilities of different people • impact of the setting on the pro- cess • roles and types of as- sessment tools • ways of col- lecting infor- mation • validity and reliability re- quirements • reporting re- quirements and formats

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 50 of 130 Nature and impact of diverse and multi- faceted needs and is- sues affecting client groups, and poten- tial interrelation- ships between them. Common service re- quirements and basic features of those services Resources, services and supports re- quired and provided:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 51 of 130 Networks and spe- cialist services Legal and ethical considerations

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 52 of 130 Assessment - Client 2 Client name Age Complex needs: Suitable assessment process: Provide explanation of: • roles and re- sponsibilities of different people • impact of the setting on the pro- cess • roles and types of as- sessment tools • ways of col- lecting infor- mation • validity and reliability re- quirements • reporting re- quirements and formats

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 53 of 130 Nature and impact of diverse and multi- faceted needs and is- sues affecting client groups, and poten- tial interrelation- ships between them. Common service re- quirements and basic features of those services Resources, services and supports re- quired and provided:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 54 of 130 Networks and spe- cialist services Legal and ethical considerations

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 55 of 130 Assessment - Client 3 Client name Age Complex needs: Suitable assessment process: Provide explanation of: • roles and re- sponsibilities of different people • impact of the setting on the pro- cess • roles and types of as- sessment tools • ways of col- lecting infor- mation • validity and reliability re- quirements • reporting re- quirements and formats

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 56 of 130 Nature and impact of diverse and multi- faceted needs and is- sues affecting client groups, and poten- tial interrelation- ships between them. Common service re- quirements and basic features of those services Resources, services and supports re- quired and provided:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 57 of 130 Networks and spe- cialist services Legal and ethical considerations Supervisor’s comments (if any): Student’s performance in the workplace task S NYS Supervisor’s Name: Supervisor signature: Date:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 58 of 130 B. Learner performance self-appraisal For each of the following items, please mark the box in the rating scale that most closely corresponds to your evaluation of your performance on that item as part of your ‘on the job’ performance. Please also feel free to offer comments and suggestions for changes and improvements in the spaces provided. 1 = Poor 2 = Below Average 3 = Fair 4 = Good 5 = Excellent Evaluation items 1 2 3 4 5 1. Quality of Work The degree to which your work was thorough, accurate, and completed in a timely manner.      Comments: 2. Ability to learn The extent to which you asked relevant questions; sought out additional information from appropriate sources; understood new concepts, ideas, and work assignments; and were willing to make needed changes and improvements.      Comments: 3. Initiative and creativity The degree to which you were self- motivated; sought out challenges and/or more work; approached and solved problems on your own; and developed innovative and creative ideas, solutions, and/or options.      Comments: 4. Professionalism The extent to which you demonstrated a confident and positive attitude; exhibited honesty and integrity on the job; were aware of and sensitive to ethical and diversity issues; and behaved in an ethical and professional manner.      Comments: 5. Dependability The degree to which you were reliable; followed instructions and appropriate procedures; were attentive to detail; and     

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 59 of 130 required supervision. Comments: 6. Attendance and Punctuality The degree to which you reported to work as scheduled and on-time.      Comments: 7. Organisational fit The extent to which you understood and supported the organisation’s mission, vision, and goals; adapted to organisational norms, expectations, and culture; and functioned within appropriate authority and decision- making channels      Comments: 8. Response to supervisor The degree to which you sought supervision when necessary; were receptive to constructive criticism and advice from your supervisor; implemented suggestions from your supervisor; and were willing to explore personal strengths and areas for improvement      Comments:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 60 of 130 C. Supervisor Report Learner declaration I am familiar with the requirements and their application in the workplace. The answers I have provided are my own and represent the knowledge and skills I have developed whilst on the job. The Self-appraisal I have made represent my honest self-assessment of my skill levels whilst on the job. I confirm these are my entries and are true and accurate reflection of myself. I have completed the required tasks and consulted with my Supervisor regarding readiness for assessment before contacting my assessor for workplace assessment. Supervisor’s score of the learner’s performance in the workplace tasks: Level of skill Provide a level of skill by encircling the appropriate number: NA, 1 Has no skill 2 Minimum skill 3 Mostly skilled 4 Skilled 5 Able to support others In your opinion did the Learner perform tasks to the standard expected?  Yes  No Is the learner ready for assessment?  Yes  No Supervisor Comments: Declaration : I am familiar with the competency standards and their application in the workplace. The responses I have made above represent my honest assessment of the candidate’s skill levels for assistance in judgement of satisfactory knowledge and performance to standards expected in the industry Supervisor’s Name: Supervisor’s signature: Date: Student’ s Name: Student’s signature: Date:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 61 of 130 Assessment Activity Outcome Record (by the Trainer/Assessor) Unit of competency CHCCSM004 Coordinate Complex Case Requirements Student’s Declaration • I declare that the answers I have provided are my own work; where I have accessed information from other sources and the information is not my own, I have provided referenced and/or links to my sources. • I have kept a copy of all relevant notes and reference materials that I used as part of my submission. • I understand that if I disagree with the assessment, I can appeal the assessment process, and either re-submit additional evidence or undertake gap training and/or have my submission re-assessed. • I understand that there are two (2) assessment attempts and that all appeal options have been explained to me. • I have received clear instructions about work placement requirements, the evidence collection process and the roles of assessor and supervisor. Student’s Name: Student’s Signature: Date: Based on the evidence gathered during the training and assessment process I, the undersigned, agree the assessment was valid, reliable, flexible and fair. Assessment Activity Satisfactory Date More evidence Date A. Activity Tasks ☐ ____/____/____ ☐ ____/____/____ B. Learner performance self- appraisal ☐ ____/____/____ ☐ ____/____/____ C. Supervisor Report ☐ ____/____/____ ☐ ____/____/____ Context detail (Assessor to record) Attempt 1 _ ___/____/____ Attempt 2 ____/____/____ Appeals: If you receive a Not Satisfactory assessment result you have the right to appeal. You have two assessment attempts. Assessor feedback to learner: Assessor’s Declaration I have provided clear instructions to the student and the supervisor regarding the type and the quantity of evidence to be collected and reported on. I hold:  Vocational competencies at least to the level being delivered  Current relevant industry skills  Current knowledge and skills in VET, and undertake  Ongoing professional development in VET I declare that I have assessed the student’s submission. The assessment tasks were deemed current, sufficient, valid and reliable. I declare that I have conducted a fair, valid, reliable and flexible assessment. I have provided feedback to the stu- dent. Assessor ’s Name: Assessor ’s Signature: Date: ____/____/____

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 62 of 130 CHCCSM005 Develop, Facilitate and Review all Aspects of Case Management A. Activity Tasks Task 4: Case Management Interviews Task Description: This work placement task requires the student to demonstrate their ability develop, facilitate and review all aspects of case management for 3 clients. In order to do this the student will be required to interview three clients and answer the following questions relating to the interview. Students are also required to complete the template of a case management plan. This work placement task relates to units: CHCCSM005 Develop, facilitate and review all aspects of case management Instructions: • You are required to interview three clients, in order to develop a case management plan which will be completed Task A : Use the template provided to complete three (3) client interviews. Ask each client the questions provided. This answers you record will provide you the information to complete Task B Task B: After you have completed the interviews in Task A, use the template provided in Task B to answer the follow up questions for each client to prepare you for writing the case management plans in Task C Task C : You are required to write up a case management plan using the template provided for each client, using the information you have acquired in Task A and Task B

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 63 of 130 Client Interview questions 1 Resident Name: Resident Name: Diagnosis: Facility Name: Please identify and explain what you think your service needs are? What do you think your strengths and abilities are? What are your key goals for the next six months? For the next twelve months and for the next five years? How can we work together to achieve these goals? Are there any cultural issues that will influence the way in which our organisation provides you a service?

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 64 of 130 Client Interview questions 2 Resident Name: Resident Name: Diagnosis: Facility Name: Please explain what you think your service needs are? What do you think your strengths and abilities are? What are your key goals for the next six months? For the next twelve months and for the next five years? How can we work together to achieve these goals? Are there any cultural issues that will influence the way in which our organisation provides you a service ?

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 65 of 130 Client Interview questions 3 Resident Name: Resident Name: Diagnosis: Facility Name: Please explain what you think your service needs are? What do you think your strengths and abilities are? What are your key goals for the next six months? For the next twelve months and for the next five years? How can we work together to achieve these goals? Are there any cultural issues that will influence the way in which our organisation provides you a service ?

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 66 of 130 Task B • After you have interviewed the three clients answer the questions in the following template Client Interview-1 – Follow Up Questions for student to answer Resident Name: Resident Name: Diagnosis: Facility Name: Describe the information that you provided the client about the case management process Describe three goals that you worked with the clients to set as part of the case management process Describe the strengths and abilities that you have identified in collaboration with the client. Describe the clients immediate, short term and long-term needs

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 67 of 130 Describe any high- risk situation you have identified concerning the client’s circumstances. How did you integrate cultural considerations when planning case management with this client? Who did you consult with in relation to the provision of support for this client? How did you monitor the progress of the case plan Did you need to make any changes to the case plan and what were these changes and why?

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 68 of 130 Client Interview-2 – Follow Up Questions for student to answer Resident Name: Resident Name: Diagnosis: Facility Name: Describe the information that you provided the client about the case management process Describe three goals that you worked with the clients to set as part of the case management process Describe the strengths and abilities that you have identified in collaboration with the client. Describe the clients immediate, short term and long-term needs

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 69 of 130 Describe any high- risk situation you have identified concerning the client’s circumstances. How did you integrate cultural considerations when planning case management with this client? Who did you consult with in relation to the provision of support for this client? How did you monitor the progress of the case plan Did you need to make any changes to the case plan and what were these changes and why?

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 70 of 130 Client Interview-3 – Follow Up Questions for student to answer Resident Name: Diagnosis: Facility Name: Describe the information that you provided the client about the case management process Describe three goals that you worked with the clients to set as part of the case management process Describe the strengths and abilities that you have identified in collaboration with the client. Describe the clients immediate, short term and long-term needs

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 71 of 130 Describe any high- risk situation you have identified concerning the client’s circumstances. How did you integrate cultural considerations when planning case management with this client? Who did you consult with in relation to the provision of support for this client? How did you monitor the progress of the case plan

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 72 of 130 Did you need to make any changes to the case plan and what were these changes and why?

73 | P a g e Task C • You are required to develop a case management plan in the following template based on the interviews you undertook in Task A of this assessment. Client 1 Name Diagnosis or main illness Other concerns Purpose statement Consumer level of involvement and control Case manager name Other organisations and people involved in case management planning Name and position Contact details Identified need: Goals (outcomes sought) How this will be done (description of services to be provided) Identified need: Goals (outcomes sought) How this will be done (description of services to be provided) Identified need:

74 | P a g e Goals (outcomes sought) How this will be done (description of services to be provided)

75 | P a g e Client 2 Name Diagnosis or main illness Other concerns Purpose statement Consumer level of involvement and control Case manager name Other organisations and people involved in case management planning Name and position Contact details Identified need: Goals (outcomes sought) How this will be done (description of services to be provided) Identified need: Goals (outcomes sought) How this will be done (description of services to be provided) Identified need:

76 | P a g e Goals (outcomes sought) How this will be done (description of services to be provided)

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 77 of 130 Client 3 Name Diagnosis or main illness Other concerns Purpose statement Consumer level of involvement and control Case manager name Other organisations and people involved in case management planning Name and position Contact details Identified need: Goals (outcomes sought) How this will be done (description of services to be provided) Identified need: Goals (outcomes sought) How this will be done (description of services to be provided) Identified need:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 78 of 130 Goals (outcomes sought) How this will be done (description of services to be provided) Supervisor’s comments (if any): Student’s performance in the workplace task S NYS Supervisor’s Name: Supervisor signature: Date:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 79 of 130 B. Learner performance self-appraisal For each of the following items, please mark the box in the rating scale that most closely corresponds to your evaluation of your performance on that item as part of your ‘on the job’ performance. Please also feel free to offer comments and suggestions for changes and improvements in the spaces provided. 1 = Poor 2 = Below Average 3 = Fair 4 = Good 5 = Excellent Evaluation items 1 2 3 4 5 1. Quality of Work The degree to which your work was thorough, accurate, and completed in a timely manner.      Comments: 2. Ability to learn The extent to which you asked relevant questions; sought out additional information from appropriate sources; understood new concepts, ideas, and work assignments; and were willing to make needed changes and improvements.      Comments: 3. Initiative and creativity The degree to which you were self- motivated; sought out challenges and/or more work; approached and solved problems on your own; and developed innovative and creative ideas, solutions, and/or options.      Comments: 4. Professionalism The extent to which you demonstrated a confident and positive attitude; exhibited honesty and integrity on the job; were aware of and sensitive to ethical and diversity issues; and behaved in an ethical and professional manner.      Comments:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 80 of 130 5. Dependability The degree to which you were reliable; followed instructions and appropriate procedures; were attentive to detail; and required supervision.      Comments: 6. Attendance and Punctuality The degree to which you reported to work as scheduled and on-time.      Comments: 7. Organisational fit The extent to which you understood and supported the organisation’s mission, vision, and goals; adapted to organisational norms, expectations, and culture; and functioned within appropriate authority and decision- making channels      Comments: 8. Response to supervisor The degree to which you sought supervision when necessary; were receptive to constructive criticism and advice from your supervisor; implemented suggestions from your supervisor; and were willing to explore personal strengths and areas for improvement      Comments:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 81 of 130 C. Supervisor Report Learner declaration I am familiar with the requirements and their application in the workplace. The answers I have provided are my own and represent the knowledge and skills I have developed whilst on the job. The Self-appraisal I have made represent my honest self-assessment of my skill levels whilst on the job. I confirm these are my entries and are true and accurate reflection of myself. I have completed the required tasks and consulted with my Supervisor regarding readiness for assessment before contacting my assessor for workplace assessment. Supervisor’s score of the learner’s performance in the workplace tasks: Level of skill Provide a level of skill by encircling the appropriate number: NA, 1 Has no skill 2 Minimum skill 3 Mostly skilled 4 Skilled 5 Able to support others In your opinion did the Learner perform tasks to the standard expected?  Yes  No Is the learner ready for assessment?  Yes  No Supervisor Comments: Declaration : I am familiar with the competency standards and their application in the workplace. The responses I have made above represent my honest assessment of the candidate’s skill levels for assistance in judgement of satisfactory knowledge and performance to standards expected in the industry Supervisor’s Name: Supervisor’s signature: Date: Student’ s Name: Student’s signature: Date:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 82 of 130 Assessment Activity Outcome Record (by the Trainer/Assessor) Unit of competency CHCCSM005 Develop, Facilitate and Review all Aspects of Case Management Student’s Declaration • I declare that the answers I have provided are my own work; where I have accessed information from other sources and the information is not my own, I have provided referenced and/or links to my sources. • I have kept a copy of all relevant notes and reference materials that I used as part of my submission. • I understand that if I disagree with the assessment, I can appeal the assessment process, and either re-submit additional evidence or undertake gap training and/or have my submission re-assessed. • I understand that there are two (2) assessment attempts and that all appeal options have been explained to me. • I have received clear instructions about work placement requirements, the evidence collection process and the roles of assessor and supervisor. Student’s Name: Student’s Signature: Date: Based on the evidence gathered during the training and assessment process I, the undersigned, agree the assessment was valid, reliable, flexible and fair. Assessment Activity Satisfactory Date More evidence Date A. Activity Tasks ☐ ____/____/____ ☐ ____/____/____ B. Learner performance self- appraisal ☐ ____/____/____ ☐ ____/____/____ C. Supervisor Report ☐ ____/____/____ ☐ ____/____/____ Context detail (Assessor to record) Attempt 1 _ ___/____/____ Attempt 2 ____/____/____ Appeals: If you receive a Not Satisfactory assessment result you have the right to appeal. You have two assessment attempts. Assessor feedback to learner: The Assessor must write full feedback to the learner that is constructive and not generic. Assessor’s Declaration I have provided clear instructions to the student and the supervisor regarding the type and the quantity of evidence to be collected and reported on. I hold:  Vocational competencies at least to the level being delivered  Current relevant industry skills  Current knowledge and skills in VET, and undertake  Ongoing professional development in VET I declare that I h ave assessed the student’s submission. The assessment tasks were deemed current, sufficient, valid and reliable. I declare that I have conducted a fair, valid, reliable and flexible assessment. I have provided feedback to the stu- dent. Assessor ’s Name: Assessor ’s Signature: Date: ____/____/____

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 83 of 130 CHCCSM006 Provide Case Management Supervision A. Activity Tasks Task 5: Provide Case Management Supervision Task Description: This work placement task requires the student to take a leadership role in the delivery of quality case management. This includes disseminating information and providing advice on practice issues relating to case management within the organisation. Workers at this level work autonomously and are responsible for own outputs within broad but defined organisation guidelines. In order to do this the student will be required to: a) led and advised at least 2 case workers on a complex case, including • providing direction, support, recommendations and advice • promoting best practice • monitoring case progress Student must also be able to demonstrate required knowledge and skills to complete this task according to the following criteria: • Legal and ethical considerations such as duty of care, mandatory reporting, privacy, confidentiality and disclosure, complaints and codes of practice and ethics. • Theory and practice of case management and supervision • Practice model of supervision • Own value base and belied system • Cultural competence • Culturally specific workers and how to access • Responsibilities and responses to client risks Task A The student is required to led and advised at least 2 case workers on a complex case, including • providing direction, support, recommendations and advice • promoting best practice • monitoring case progress To complete this workplace task, students are required to fill in the below template:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 84 of 130 Worker – 1 Name Age Work area Assistance, direction, sup- port, advice and recom- mendations provided: How you promoted and contributed to best prac- tice: Reflect and improve on own supervision provi- sion:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 85 of 130 Worker – 2 Name Age Work area Assistance, direction, sup- port, advice and recom- mendations provided: How you promoted and contributed to best prac- tice: Reflect and improve on own supervision provi- sion:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 86 of 130 Supervisor’s comments (if any): Student’s performance in the workplace task S NYS Supervisor’s Name: Supervisor signature: Date:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 87 of 130 B. Learner performance self-appraisal For each of the following items, please mark the box in the rating scale that most closely corresponds to your evaluation of your performance on that item as part of your ‘on the job’ performance. Please also feel free to offer comments and suggestions for changes and improvements in the spaces provided. 1 = Poor 2 = Below Average 3 = Fair 4 = Good 5 = Excellent Evaluation items 1 2 3 4 5 1. Quality of Work The degree to which your work was thorough, accurate, and completed in a timely manner.      Comments: 2. Ability to learn The extent to which you asked relevant questions; sought out additional information from appropriate sources; understood new concepts, ideas, and work assignments; and were willing to make needed changes and improvements.      Comments: 3. Initiative and creativity The degree to which you were self-motivated; sought out challenges and/or more work; approached and solved problems on your own; and developed innovative and creative ideas, solutions, and/or options.      Comments: 4. Professionalism The extent to which you demonstrated a confident and positive attitude; exhibited honesty and integrity on the job; were aware of and sensitive to ethical and diversity issues; and behaved in an ethical and professional manner.      Comments: 5. Dependability The degree to which you were reliable; followed instructions and appropriate procedures; were attentive to detail; and required supervision.      Comments:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 88 of 130 6. Attendance and Punctuality The degree to which you reported to work as scheduled and on-time.      Comments: 7. Organisational fit The extent to which you understood and supported the organisation’s mission, vision, and goals; adapted to organisational norms, expectations, and culture; and functioned within appropriate authority and decision- making channels      Comments: 8. Response to supervisor The degree to which you sought supervision when necessary; were receptive to constructive criticism and advice from your supervisor; implemented suggestions from your supervisor; and were willing to explore personal strengths and areas for improvement      Comments:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 89 of 130 C. Supervisor Report Learner declaration I am familiar with the requirements and their application in the workplace. The answers I have provided are my own and represent the knowledge and skills I have developed whilst on the job. The Self-appraisal I have made represent my honest self-assessment of my skill levels whilst on the job. I confirm these are my entries and are true and accurate reflection of myself. I have completed the required tasks and consulted with my Supervisor regarding readiness for assessment before contacting my assessor for workplace assessment. Supervisor’s score of the learner’s performance in the workplace tasks: Level of skill Provide a level of skill by encircling the appropriate number: NA, 1 Has no skill 2 Minimum skill 3 Mostly skilled 4 Skilled 5 Able to support others In your opinion did the Learner perform tasks to the standard expected?  Yes  No Is the learner ready for assessment?  Yes  No Supervisor Comments: Declaration : I am familiar with the competency standards and their application in the workplace. The responses I have made above represent my honest assessment of the candidate’s skill levels for assistance in judgement of satisfactory knowledge and performance to standards expected in the industry Supervisor’s Name: Supervisor’s signature: Date: Student’ s Name: Student’s signature: Date:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 90 of 130 Assessment Activity Outcome Record (by the Trainer/Assessor) Unit of competency CHCCSM006 Provide Case Management Supervision Student’s Declaration • I declare that the answers I have provided are my own work; where I have accessed information from other sources and the information is not my own, I have provided referenced and/or links to my sources. • I have kept a copy of all relevant notes and reference materials that I used as part of my submission. • I understand that if I disagree with the assessment, I can appeal the assessment process, and either re-submit additional evidence or undertake gap training and/or have my submission re-assessed. • I understand that there are two (2) assessment attempts and that all appeal options have been explained to me. • I have received clear instructions about work placement requirements, the evidence collection process and the roles of assessor and supervisor. Student’s Name: Student’s Signature: Date: Based on the evidence gathered during the training and assessment process I, the undersigned, agree the assessment was valid, reliable, flexible and fair. Assessment Activity Satisfactory Date More evidence Date A. Activity Tasks ☐ ____/____/____ ☐ ____/____/____ B. Learner performance self- appraisal ☐ ____/____/____ ☐ ____/____/____ C. Supervisor Report ☐ ____/____/____ ☐ ____/____/____ Context detail (Assessor to record) Attempt 1 _ ___/____/____ Attempt 2 ____/____/____ Appeals: If you receive a Not Satisfactory assessment result you have the right to appeal. You have two assessment attempts. Assessor feedback to learner: The Assessor must write full feedback to the learner that is constructive and not generic. Assessor’s Declaration I have provided clear instructions to the student and the supervisor regarding the type and the quantity of evidence to be collected and reported on. I hold:  Vocational competencies at least to the level being delivered  Current relevant industry skills  Current knowledge and skills in VET, and undertake  Ongoing professional development in VET I declare that I have assessed the student’s su bmission. The assessment tasks were deemed current, sufficient, valid and reliable. I declare that I have conducted a fair, valid, reliable and flexible assessment. I have provided feedback to the stu- dent. Assessor ’s Name: Assessor ’s Signature: Date: ____/____/____

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 91 of 130 CHCCDE011 Implement community development strategies A. Activity Task Task 6: Implement community development strategies Task Description: This work placement task requires the student to demonstrate their ability to: o Find out what the concerns are of at least 1 community priority and determine the structures and systems contributing to the concerns you have identified o Work in partnership with at least 1 community group to develop strategies that address their concerns in the order of their priorities. o Support 3 activities that encourage the community to participate in actions relating to the concerns raised. o Help a community group decide on the public processes they want to implement to address their concerns Instructions: You need to identify a community or group of people who have either raised an issue of concern within your local community or who have agreed to work with you in relation to an issue of concern you have observed related to this community. You will need to research this issue of concern and undertake an analysis of the issue including identifying the relevant public structures and system relevant to that issue. Task A: Requires you to identify and analysis a community issue of your choice in your work place or community. Use the provided template and answer the questions in relation to your choice of issue/concern Task B: After you have identified and analysed this issue you will need to research the community priorities. Use the template provided in Task B and answer the questions to complete this section Task C: in this section you are required to engage with community group to develop strategies to address their priorities. Use the template provided in Task C to answer this section and identify 3 activities to facilitate community participation. Task D: In this section you are required to support activities to facilitate community participation. These activities were identified in Task C. Using one template for each activity (3 templates provided in Task D), answer the questions to complete this section

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 92 of 130 Task A Analysis of a community issue Identify a community or group of people who have either raised an issue of concern with your organisation or where you have observed an issue and have reached agreement with the group or the community to raise the issue as an issue of concern. Provide an analysis of that issue by answering the following questions. Describe the issue of concern/issue observed that you will providing an analysis of Describe the statistics and or other demographic data relating to this issue of concern to this community Describe the history of this issue of concern to the community Identify the key decision makers relating to this issue of concern to the community

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 93 of 130 Task B Research of community priority After having identified a community issue of concern undertake research of that issue and answer the following questions: What are the defining contributors to this issue/concern? What strategies did you use to research this issue/concern? Describe the structures you have identified that contribute to this issue/concern Describe the systems contributing to the issues/concern

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 94 of 130 Task C Engage with community group to develop strategies to address their priorities Work with the community or group that you have identified as having an issue of concern to address their priorities and answer the following questions. Describe the community group you have engaged with? Describe this groups priority and identify 3 activities to facilitate community participation How have you collaboratively engaged with this group to address their priorities? Describe the process you have developed and maintained to address the groups common issues

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 95 of 130 Task D Supported activities to facilitate community participation- After identifying 3 activities Part C, complete the following template for each activity. Conduct the activity that seeks to facilitate the community’s participation in the issue they have raised of concern and answer the following questions. Activity 1 Describe the activity you supported to facilitate community participation in the issues the community has raised? Describe how you supported these activities? Describe how you evaluated the effectiveness of your support strategies.

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 96 of 130 Supported activities to facilitate community participation- Conduct an activity that seeks to facilitate the community’s participation in the issue they have raised of concern and answer the following questions. Activity 2 Describe the activity you supported to facilitate community participation in the issues the community has raised? Describe how you supported these activities? Describe how you evaluated the effectiveness of your support strategies.

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 97 of 130 Supported activities to facilitate community participation- Conduct an activity that seeks to facilitate the community’s participation in the issue they have raised of concern and answer the following questions. Activity 3 Describe the activity you supported to facilitate community participation in the issues the community has raised? Describe how you supported these activities? Describe how you evaluated the effectiveness of your support strategies. Supervisor’s comments (if any): Student’s performance in the workplace task S NYS Supervisor’s Name: Supervisor signature: Date:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 98 of 130 B. Learner performance self-appraisal For each of the following items, please mark the box in the rating scale that most closely corresponds to your evaluation of your performance on that item as part of your ‘on the job’ performance. Please also feel free to offer comments and suggestions for changes and improvements in the spaces provided. 1 = Poor 2 = Below Average 3 = Fair 4 = Good 5 = Excellent Evaluation items 1 2 3 4 5 1. Quality of Work The degree to which your work was thorough, accurate, and completed in a timely manner.      Comments: 2. Ability to learn The extent to which you asked relevant questions; sought out additional information from appropriate sources; understood new concepts, ideas, and work assignments; and were willing to make needed changes and improvements.      Comments: 3. Initiative and creativity The degree to which you were self-motivated; sought out challenges and/or more work; approached and solved problems on your own; and developed innovative and creative ideas, solutions, and/or options.      Comments: 4. Professionalism The extent to which you demonstrated a confident and positive attitude; exhibited honesty and integrity on the job; were aware of and sensitive to ethical and diversity issues; and behaved in an ethical and professional manner.      Comments: 5. Dependability The degree to which you were reliable; followed instructions and appropriate procedures; were attentive to detail; and required supervision.      Comments:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 99 of 130 6. Attendance and Punctuality The degree to which you reported to work as scheduled and on-time.      Comments: 7. Organisational fit The extent to which you understood and supported the organisation’s mission, vision, and goals; adapted to organisational norms, expectations, and culture; and functioned within appropriate authority and decision- making channels      Comments: 8. Response to supervisor The degree to which you sought supervision when necessary; were receptive to constructive criticism and advice from your supervisor; implemented suggestions from your supervisor; and were willing to explore personal strengths and areas for improvement      Comments:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 100 of 130 C. Supervisor Report Learner declaration I am familiar with the requirements and their application in the workplace. The answers I have provided are my own and represent the knowledge and skills I have developed whilst on the job. The Self-appraisal I have made represent my honest self-assessment of my skill levels whilst on the job. I confirm these are my entries and are true and accurate reflection of myself. I have completed the required tasks and consulted with my Supervisor regarding readiness for assessment before contacting my assessor for workplace assessment. Supervisor’s score of the learner’s performance in the workplace tasks: Level of skill Provide a level of skill by encircling the appropriate number: NA, 1 Has no skill 2 Minimum skill 3 Mostly skilled 4 Skilled 5 Able to support others In your opinion did the Learner perform tasks to the standard expected?  Yes  No Is the learner ready for assessment?  Yes  No Supervisor Comments: Declaration : I am familiar with the competency standards and their application in the workplace. The responses I have made above represent my honest assessment of the candidate’s skill levels for assistance in judgement of satisfactory knowledge and performance to standards expected in the industry Supervisor’s Name: Supervisor’s signature: Date: Student’ s Name: Student’s signature: Date:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 101 of 130 Assessment Activity Outcome Record (by the Trainer/Assessor) Unit of competency CHCCDE011 Implement community development strategies Student’s Declaration • I declare that the answers I have provided are my own work; where I have accessed information from other sources and the information is not my own, I have provided referenced and/or links to my sources. • I have kept a copy of all relevant notes and reference materials that I used as part of my submission. • I understand that if I disagree with the assessment, I can appeal the assessment process, and either re-submit additional evidence or undertake gap training and/or have my submission re-assessed. • I understand that there are two (2) assessment attempts and that all appeal options have been explained to me. • I have received clear instructions about work placement requirements, the evidence collection process and the roles of assessor and supervisor. Student’s Name: Student’s Signature: Date: Based on the evidence gathered during the training and assessment process I, the undersigned, agree the assessment was valid, reliable, flexible and fair. Assessment Activity Satisfactory Date More evidence Date A. Activity Tasks ☐ ____/____/____ ☐ ____/____/____ B. Learner performance self- appraisal ☐ ____/____/____ ☐ ____/____/____ C. Supervisor Report ☐ ____/____/____ ☐ ____/____/____ Context detail (Assessor to record) Attempt 1 _ ___/____/____ Attempt 2 ____/____/____ Appeals: If you receive a Not Satisfactory assessment result you have the right to appeal. You have two assessment attempts. Assessor feedback to learner: The Assessor must write full feedback to the learner that is constructive and not generic. Assessor’s Declaration I have provided clear instructions to the student and the supervisor regarding the type and the quantity of evidence to be collected and reported on. I hold:  Vocational competencies at least to the level being delivered  Current relevant industry skills  Current knowledge and skills in VET, and undertake  Ongoing professional development in VET I declare that I have assessed the student’s submission. The assessment tasks were deemed current, sufficient, valid and reliable. I declare that I have conducted a fair, valid, reliable and flexible assessment. I have provided feedback to the stu- dent. Assessor ’s Name: Assessor ’s Signature: Date: ____/____/____

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 102 of 130 CHCPRP003 Reflect on and Improve own Professional Practice A. Activity Tasks Task 7: Reflect on and Improve own Professional Practice Task Description: This work placement task requires the student to evaluate and enhance own practice through a process of reflection and ongoing professional development. In order to do this the student will be required to: a) Prepare a personal development plan Task a requires the student to develop and present a personal development plan that includes: • goals • timeframes • ways of measuring progress To complete this workplace task, students are required to fill in the below template: Personal development plan

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 103 of 130 Name: Current position: Career mission statement (What you intend to accomplish, and why) Understanding Yourself: Discover who you are and what you want by conducting a “ Personal SWOT Analysis ” You must conduct this SWOT Analysis to improve your professional practice areas. Career objectives and major career goals Skills Audit

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 104 of 130 A: I have accomplished this skill/ I demonstrate high competence B: I have this skill/competency, but some improvements could be made C: I need to improve this skill/competency D: I need to put in considerable work to develop this skill/competency E: I need to acquire this skill/ develop this competency Skill/Competency Rank Comments Now 6m 1yr 3yr Action Plan

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 105 of 130 Development Goal Action Steps Complete by (Date) Obstacles/Solutions Evaluation I am committing to these goals, and I will review this Personal Development Plan on a regular basis and update it as necessary. Signature: Date: B. Learner performance self-appraisal Supervisor’s comments (if any): Student’s performance in the workplace task S NYS Supervisor’s Name: Supervisor signature: Date:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 106 of 130 For each of the following items, please mark the box in the rating scale that most closely corresponds to your evaluation of your performance on that item as part of your ‘on the job’ performance. Please also feel free to offer comments and suggestions for changes and improvements in the spaces provided. 1 = Poor 2 = Below Average 3 = Fair 4 = Good 5 = Excellent Evaluation items 1 2 3 4 5 1. Quality of Work The degree to which your work was thorough, accurate, and completed in a timely manner.      Comments: 2. Ability to learn The extent to which you asked relevant questions; sought out additional information from appropriate sources; understood new concepts, ideas, and work assignments; and were willing to make needed changes and improvements.      Comments: 3. Initiative and creativity The degree to which you were self-motivated; sought out challenges and/or more work; approached and solved problems on your own; and developed innovative and creative ideas, solutions, and/or options.      Comments: 4. Professionalism The extent to which you demonstrated a confident and positive attitude; exhibited honesty and integrity on the job; were aware of and sensitive to ethical and diversity issues; and behaved in an ethical and professional manner.      Comments: 5. Dependability The degree to which you were reliable; followed instructions and appropriate procedures; were attentive to detail; and required supervision.     

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 107 of 130 Comments: 6. Attendance and Punctuality The degree to which you reported to work as scheduled and on-time.      Comments: 7. Organisational fit The extent to which you understood and supported the organisation’s mission, vision, and goals; adapted to organisational norms, expectations, and culture; and functioned within appropriate authority and decision- making channels      Comments: 8. Response to supervisor The degree to which you sought supervision when necessary; were receptive to constructive criticism and advice from your supervisor; implemented suggestions from your supervisor; and were willing to explore personal strengths and areas for improvement      Comments:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 108 of 130 C. Supervisor Report Learner declaration I am familiar with the requirements and their application in the workplace. The answers I have provided are my own and represent the knowledge and skills I have developed whilst on the job. The Self-appraisal I have made represent my honest self-assessment of my skill levels whilst on the job. I confirm these are my entries and are true and accurate reflection of myself. I have completed the required tasks and consulted with my Supervisor regarding readiness for assessment before contacting my assessor for workplace assessment. Supervisor’s score of the learner’s performance in the workplace tasks: Level of skill Provide a level of skill by encircling the appropriate number: NA, 1 Has no skill 2 Minimum skill 3 Mostly skilled 4 Skilled 5 Able to support others In your opinion did the Learner perform tasks to the standard expected?  Yes  No Is the learner ready for assessment?  Yes  No Supervisor Comments: Declaration : I am familiar with the competency standards and their application in the workplace. The responses I have made above represent my honest assessment of the candidate’s skill levels for assistance in judgement of satisfactory knowledge and performance to standards expected in the industry Supervisor’s Name: Supervisor’s signature: Date: Student’ s Name: Student’s signature: Date:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 109 of 130 Assessment Activity Outcome Record (by the Trainer/Assessor) Unit of competency CHCPRP003 Reflect on and Improve own Professional Practice Student’s Declaration • I declare that the answers I have provided are my own work; where I have accessed information from other sources and the information is not my own, I have provided referenced and/or links to my sources. • I have kept a copy of all relevant notes and reference materials that I used as part of my submission. • I understand that if I disagree with the assessment, I can appeal the assessment process, and either re-submit additional evidence or undertake gap training and/or have my submission re-assessed. • I understand that there are two (2) assessment attempts and that all appeal options have been explained to me. • I have received clear instructions about work placement requirements, the evidence collection process and the roles of assessor and supervisor. Student’s Name: Student’s Signature: Date: Based on the evidence gathered during the training and assessment process I, the undersigned, agree the assessment was valid, reliable, flexible and fair. Assessment Activity Satisfactory Date More evidence Date A. Activity Tasks ☐ ____/____/____ ☐ ____/____/____ B. Learner performance self- appraisal ☐ ____/____/____ ☐ ____/____/____ C. Supervisor Report ☐ ____/____/____ ☐ ____/____/____ Context detail (Assessor to record) Attempt 1 _ ___/____/____ Attempt 2 ____/____/____ Appeals: If you receive a Not Satisfactory assessment result you have the right to appeal. You have two assessment attempts. Assessor feedback to learner: The Assessor must write full feedback to the learner that is constructive and not generic. Assessor’s Declaration I have provided clear instructions to the student and the supervisor regarding the type and the quantity of evidence to be collected and reported on. I hold:  Vocational competencies at least to the level being delivered  Current relevant industry skills  Current knowledge and skills in VET, and undertake  Ongoing professional development in VET I declare that I have assessed the student’s su bmission. The assessment tasks were deemed current, sufficient, valid and reliable. I declare that I have conducted a fair, valid, reliable and flexible assessment. I have provided feedback to the stu- dent. Assessor ’s Name: Assessor ’s Signature: Date: ____/____/____

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 110 of 130 CHCADV001 Facilitate the interests and rights of clients A. Activity Task Task 8: Facilitating the rights and interests of clients Task Description: This assessment activity provides the student with the opportunity to facilitate the rights and interests of their clients. This task relates to units: CHCADV001 – Facilitate the interests and rights of clients Instructions: • This task should be completed in the workplace. • The student must perform the following tasks in a care setting. o The student must demonstrate they can work with clients to identify their interests, needs and rights o The student is required to have real interactions with the colleagues, clients and their carers/families to complete this task. o The student must collaborate, advocate and support each client. You are required to completed three (3) journals relating to your time on placement. Each journal should cover the following three topics; • Working with a client to identify their interests, needs and rights • Advocating for a client to achieve a particular outcome • Supporting a client through the complaints process Using the templates provided, fill in the journal for each client

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 111 of 130 Journal #1 Client name: Strategies used to build a relationship with the client: List of client’s interests: What are the client’s needs? How did you identify the client’s immediate needs?

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 112 of 130 Was the client aware of their rights? How did you confirm the clients understanding of their rights? How did you provide the client with information on their options to meet their needs and rights? How did you help them choose their preferred option? Is the client able to advocate for themselves? If not, what strategies did you implement to assist the client in advocacy?

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 113 of 130 How did you identify any potential barriers, risks or potential risks for the client? Who did you consult with about the interests, needs and rights of the client to ensure reasonable outcomes were achieved? How did you maintain the confidentiality and privacy of the client and apply appropriate practices to ensure minimal harm to clients, yourself and others? What was your discussion with the client regarding the organisational and legal complaints mechanisms, how they may lodge a complaint and support you would provide to monitor the process?

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 114 of 130 How did you follow up to ensure the client’s preferences were being met? How did you obtain feedback for improvement? Assessor Comments Assessor Signature Date

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 115 of 130 Journal #2 Client name: Strategies used to build a relationship with the client: List of client’s interests: What are the client’s needs? How did you identify the client’s immediate needs?

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 116 of 130 Was the client aware of their rights? How did you confirm the clients understanding of their rights? How did you provide the client with information on their options to meet their needs and rights? How did you help them choose their preferred option? Is the client able to advocate for themselves? If not, what strategies did you implement to assist the client in advocacy?

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 117 of 130 How did you identify any potential barriers, risks or potential risks for the client? Who did you consult with about the interests, needs and rights of the client to ensure reasonable outcomes were achieved? How did you maintain the confidentiality and privacy of the client and apply appropriate practices to ensure minimal harm to clients, yourself and others? What was your discussion with the client regarding the organisational and legal complaints mechanisms, how they may lodge a complaint and support you would provide to monitor the process?

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 118 of 130 How did you follow up to ensure the client’s preferences were being met? How did you obtain feedback for improvement? Assessor Comments Assessor Signature Date

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 119 of 130 Journal #3 Client name: Strategies used to build a relationship with the client: List of client’s interests: What are the client’s needs? How did you identify the client’s immediate needs?

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 120 of 130 Was the client aware of their rights? How did you confirm the clients understanding of their rights? How did you provide the client with information on their options to meet their needs and rights? How did you help them choose their preferred option? Is the client able to advocate for themselves? If not, what strategies did you implement to assist the client in advocacy?

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 121 of 130 How did you identify any potential barriers, risks or potential risks for the client? Who did you consult with about the interests, needs and rights of the client to ensure reasonable outcomes were achieved? How did you maintain the confidentiality and privacy of the client and apply appropriate practices to ensure minimal harm to clients, yourself and others? What was your discussion with the client regarding the organisational and legal complaints mechanisms, how they may lodge a complaint and support you would provide to monitor the

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 122 of 130 process? How did you follow up to ensure the client’s preferences were being met? How did you obtain feedback for improvement? Assessor Comments Assessor Signature Date

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 123 of 130 Supervisor’s comments (if any): Student’s performance in the workplace task S NYS Supervisor’s Name: Supervisor signature: Date:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 124 of 130 B. Learner performance self-appraisal For each of the following items, please mark the box in the rating scale that most closely corresponds to your evaluation of your performance on that item as part of your ‘on the job’ performance. Please also feel free to offer comments and suggestions for changes and improvements in the spaces provided. 1 = Poor 2 = Below Average 3 = Fair 4 = Good 5 = Excellent Evaluation items 1 2 3 4 5 1. Quality of Work The degree to which your work was thorough, accurate, and completed in a timely manner.      Comments: 2. Ability to learn The extent to which you asked relevant questions; sought out additional information from appropriate sources; understood new concepts, ideas, and work assignments; and were willing to make needed changes and improvements.      Comments: 3. Initiative and creativity The degree to which you were self-motivated; sought out challenges and/or more work; approached and solved problems on your own; and developed innovative and creative ideas, solutions, and/or options.      Comments: 4. Professionalism The extent to which you demonstrated a confident and positive attitude; exhibited honesty and integrity on the job; were aware of and sensitive to ethical and diversity issues; and behaved in an ethical and professional manner.      Comments: 5. Dependability The degree to which you were reliable; followed instructions and appropriate procedures; were attentive to detail; and required supervision.      Comments:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 125 of 130 6. Attendance and Punctuality The degree to which you reported to work as scheduled and on-time.      Comments: 7. Organisational fit The extent to which you understood and supported the organisation’s mission, vision, and goals; adapted to organisational norms, expectations, and culture; and functioned within appropriate authority and decision- making channels      Comments: 8. Response to supervisor The degree to which you sought supervision when necessary; were receptive to constructive criticism and advice from your supervisor; implemented suggestions from your supervisor; and were willing to explore personal strengths and areas for improvement      Comments:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 126 of 130 C. Supervisor Report Learner declaration I am familiar with the requirements and their application in the workplace. The answers I have provided are my own and represent the knowledge and skills I have developed whilst on the job. The Self-appraisal I have made represent my honest self-assessment of my skill levels whilst on the job. I confirm these are my entries and are true and accurate reflection of myself. I have completed the required tasks and consulted with my Supervisor regarding readiness for assessment before contacting my assessor for workplace assessment. Supervisor’s score of the learner’s performance in the workplace tasks: Level of skill Provide a level of skill by encircling the appropriate number: NA, 1 Has no skill 2 Minimum skill 3 Mostly skilled 4 Skilled 5 Able to support others In your opinion did the Learner perform tasks to the standard expected?  Yes  No Is the learner ready for assessment?  Yes  No Supervisor Comments: Declaration : I am familiar with the competency standards and their application in the workplace. The responses I have made above represent my honest assessment of the candidate’s skill levels for assistance in judgement of satisfactory knowledge and performance to standards expected in the industry Supervisor’s Name: Supervisor’s signature: Date: Student’ s Name: Student’s signature: Date:

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 127 of 130 Assessment Activity Outcome Record (by the Trainer/Assessor) Unit of competency CHCADV001 Facilitate the interests and rights of clients Student’s Declaration • I declare that the answers I have provided are my own work; where I have accessed information from other sources and the information is not my own, I have provided referenced and/or links to my sources. • I have kept a copy of all relevant notes and reference materials that I used as part of my submission. • I understand that if I disagree with the assessment, I can appeal the assessment process, and either re-submit additional evidence or undertake gap training and/or have my submission re-assessed. • I understand that there are two (2) assessment attempts and that all appeal options have been explained to me. • I have received clear instructions about work placement requirements, the evidence collection process and the roles of assessor and supervisor. Student’s Name: Student’s Signature: Date: Based on the evidence gathered during the training and assessment process I, the undersigned, agree the assessment was valid, reliable, flexible and fair. Assessment Activity Satisfactory Date More evidence Date A. Activity Tasks ☐ ____/____/____ ☐ ____/____/____ B. Learner performance self- appraisal ☐ ____/____/____ ☐ ____/____/____ C. Supervisor Report ☐ ____/____/____ ☐ ____/____/____ Context detail (Assessor to record) Attempt 1 _ ___/____/____ Attempt 2 ____/____/____ Appeals: If you receive a Not Satisfactory assessment result you have the right to appeal. You have two assessment attempts. Assessor feedback to learner: The Assessor must write full feedback to the learner that is constructive and not generic. Assessor’s Declaration I have provided clear instructions to the student and the supervisor regarding the type and the quantity of evidence to be collected and reported on. I hold:  Vocational competencies at least to the level being delivered  Current relevant industry skills  Current knowledge and skills in VET, and undertake  Ongoing professional development in VET I declare that I have assessed the student’s su bmission. The assessment tasks were deemed current, sufficient, valid and reliable. I declare that I have conducted a fair, valid, reliable and flexible assessment. I have provided feedback to the stu- dent. Assessor ’s Name: Assessor ’s Signature: Date: ____/____/____

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 128 of 130 Student’s Self -Appraisal (To be filled at the time of placement completion) A. You must reflect upon your clinical work placements and answer below given questions in terms of achieving your goals and work placement experience. 1. Did you meet all the tasks requirements and successfully finished the tasks? Yes No 2. Did you achieve all the goals set prior to the work placement training? 3. What are your key strengths during work placement training program? 4. What were your weaknesses during work placement training program? How would you overcome your weakness?

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 129 of 130 5. Write the areas of the work placement training program you need an extra training. 6. Give your feedback on your work placement training program.

Hammond Institute Pty Ltd | TOID: 90720 Issue Date: December 2018 Work placement Task Booklet B CHC52015 V 2.1 Approved by: Quality & Compliance Dept. Page 130 of 130 Assessment Tasks Outcome Record – Final (completed by Assessor) Result of Assessment Tasks: Task 1: CHCDEV001 - Confirm Client Developmental Status □ Satisfactory □ Unsatisfactory Task 2: CHCCCS004 - Assess Co-existing Needs □ Satisfactory □ Unsatisfactory Task 3: CHCCSM004 - Coordinate Complex Case Requirements □ Satisfactory □ Unsatisfactory Task 4: CHCCSM005 - Develop, Facilitate and Review all aspects of Case Management □ Satisfactory □ Unsatisfactory Task 5: CHCCSM006 - Provide Case Management Supervision □ Satisfactory □ Unsatisfactory Task 6: CHCCDE011 - Implement Community Development Strategies □ Satisfactory □ Unsatisfactory Task 7: CHCPRP003 - Reflect on and Improve own Professional Practice □ Satisfactory □ Unsatisfactory Task 8: CHCADV001 - Facilitate the interests and rights of clients □ Satisfactory □ Unsatisfactory Feedback: Student Signature: Date: Assessor Signature: Date: ____/____/____