Home and Community Support Services (HCSS): Enhancing Lives in the Community

Home and Community Support Services (HCSS) play a crucial role in maintaining the health and well-being of individuals within the community. When discrete oversight and supervision are necessary, HCSS steps in to provide safety monitoring, preventing harmful activities like wandering or unattended stove use. This support is delivered through cueing, prompting, direction, and instruction. It is important to note that HCSS is specifically tailored for those who require oversight and/or supervision.

HCSS is not only for safety but extends to individuals needing assistance with personal care services. These include Activities of Daily Living (ADL) such as dressing, bathing, and mobility, as well as Instrumental Activities of Daily Living (IADL) like housekeeping and meal preparation. HCSS ensures a holistic approach, combining oversight with personal care services based on individual needs.

Referral and Assessment Process:

Upon determining the need for HCSS, the participant selects a provider from a list of qualified agencies. The Service Coordinator (SC) contacts the chosen provider for an assessment. If personal care needs arise, coordination with the participant's physician and the Local Department of Social Services (LDSS) is essential for evaluation and service arrangement.

The assessment process involves completing the Home Assessment Abstract (DSS-3139) with input from the HCSS provider's supervising Registered Professional Nurse. The assessment outlines the frequency and duration of HCSS, ensuring a personalized and effective plan.

Provider Qualifications:
HCSS can only be provided by a Licensed Home Care Services Agency (LHCSA), with staff meeting specific requirements. HCSS staff members must be at least 18 years old, able to follow instructions, possess necessary skills, and complete relevant training. The supervising Registered Professional Nurse must meet specific qualifications and conduct an initial home visit to introduce staff, assess services, and address any environmental considerations.
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