What you need to know about SIL, ROC and SDA
SIL (supported independent living), ROC (roster of care) and SDA (specialist disability accommodation) work hand in hand to form a comprehensive care plan. But how do they come together? What comes first? How can you ensure alignment between them?
SIL: What evidence is required for funding and ROC?
SIL is help and/or supervision of daily tasks to help participants live as independently as possible, while building their skills. SIL can be accessed within an SDA (Specialist Disability Accommodation) environment or within a participant’s own home.
SIL does not encompass community participation, rent, day to day living expenses or SDA.
Evidence for your plan and achieving suitable outcomes.
To successfully receive SIL, participants need to participate in a Home and Living assessment which adequately addresses and answers the questions:
- Goals: How will the funding help me achieve my goals?
- Evidence: How will the funding help me function day to day, what is my current situation with care, health and independence?
Providing evidence helps support and gain the appropriate funding to adequately meet the participants care and accommodation needs. The Home and Living assessment is used to determine suitable funding and housing options.
Types of evidence required to secure SIL funding?
The types of evidence required to secure SIL finding will vary based on your personal situation and goals. As a general guide, some or all of the following may be requested:
- Functional Capacity Assessment
- Participant housing/impact statement
- Hospital discharge summaries
- Nursing report
- Allied health reports
- Letter of offer
- Carer impact statements
- Care plans and progress notes
Once the plan is funded, the focus moves to utilisation and development of the ROC, which will be built to match the Functional Capacity Assessment and the participant’s plan. Should a plan review come back with insufficient funding, a participant would be required to submit change of circumstances (s48) and review of reviewable decision (s100), and resubmit evidence, resulting in a delay of at least 12 weeks.
What do SIL service providers look at when developing a Roster of Care (ROC)?
When determining developing a Roster of Care and the SIL provider will normally request:
- Functional Capacity Assessments
- Management Plans
- Medication Charts
- Equipment and Assistive Tech
Why do SIL service providers ask for evidence when the plan has already been approved?
SIL Providers use the information provided to develop a comprehensive ROC that meets the care needs of the participant. Without a thorough understanding of the care needs of the participant, the ROC is unlikely to meet their needs. The evidence is used to answer questions like:
- What is the participant’s daily ability to function across all dimensions of health?
- How can we best support the specific care needs of the participant?
- How frequently does the participant require medication support, in terms of frequency, dose and delivery? Are our support workers trained to administer medication? Can the participant independently administer these medications?
- What does the participant need to live safely in their home? If equipment or assistive tech is required, will they purchase it outright or hire?
How does the ROC feed into delivery of care services?
The evidence allows the SIL provider to develop a ROC that outlines the specific hour types a participant is funded for. This might include 1:1, 2:1 or 1:3 ratios. From here an integrated roster template is used to calculate the individual’s specific requirements at specific points in time or sites.
Despite the common belief that 1:3 ratios can only be used in group homes, in many cases, it can be used in a single occupancy (apartment) environment set up also.
The result is the SIL allocation in a participant’s plan matches the ROC created by the SIL provider, and there is alignment of the functional capacity assessment, supplementary evidence and the NDIS plan.
The SIL provider’s role doesn’t conclude with care delivery, with ongoing maintenance to develop a suite of evidence via care plans, progress notes and clinical reviews, to support future plan reviews.
If you’d like to know more about how Claro can work with you or our support coordinator to access SIL, update your ROC, or access SDA, get in touch today via the contact page.
Read the NDIS glossary to expand the acronyms used above, here.