What WorkSafe will pay for

WorkSafe can pay the reasonable costs of supported accommodation services under Victorian workers' compensation legislation (the legislation) where the worker requires residence in a supported accommodation facility on a permanent or semi-permanent basis in order to meet their care and support needs as a result of a work-related illness or injury.

WorkSafe will periodically review a worker's entitlement to supported accommodation to ensure that the level of support and services remain reasonable for the work-related injury or illness and remains payable under the legislation.

This policy must be read in conjunction with the following policies:

  • Attendant care policy
  • Daily living expenses policy

Background

Supported accommodation is a model of care that responds to the needs of workers who have multiple physical, sensory and/or cognitive disabilities arising from their work-related injury or illness which impacts significantly on their capacity for independent living.

The care provided may relate to physical assistance and/or assistance required to address cognitive and psychological issues. The Agent can pay for supported accommodation services where the services:

  • are identified as being the most appropriate and enabling response to a worker's clinically justified care and support needs;
  • optimise functional independence and actively support the worker to achieve their independence; goals;
  • are provided in a way that is consistent with the Clinical Framework for the Delivery of Health Services; and
  • are delivered using a worker centred approach.

Supported accommodation services may provide personal care, domestic and community services, supervision, nursing care, or a combination of all of these.

Supported accommodation facilities should offer:

  • a separate bedroom;
  • a 'home-like' environment with furnishings;
  • standard equipment appropriate to the worker's care and support needs;
  • varied meal choices with high nutritional value;
  • appropriate staffing to meet all personal care needs of the worker;
  • supervision and/or nursing care relevant to the needs of the worker; and
  • accommodation that is clean, hygienic and kept in good repair.

The accommodation service should endeavour to maximise a worker's personal dignity, choice, independence, functional skills and capabilities and should encourage and facilitate his/her participation in social and community activities.

The Agent can consider engaging a case manager to facilitate admission into a supported accommodation facility in circumstances where a worker requires additional support.

Definitions

In this policy:

Supported Accommodation refers to the following four accommodation facility options available:

  • Shared Supported Accommodation (SSA).
  • Supported Residential Services (SRS) within the meaning of section 5 of the Supported Residential Services (Private Proprietors) Act 2010.
  • Residential Aged Care (RAC).
  • Group Home (within the meaning of Section 3(1) of the Disability Act 2006 and formerly known as Community Residential Unit (CRU)).