Career – Affection Care

Specialised in Mental Disability, exceptional in Disability Nursing.

Call us: 044 897 1081
Email: info@affectioncare.com.au

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About Us
Services
Assistance Daily Living Tasks in group or shared living arrangement

Assistance in Accommodation and Tenancy

Assistance in Coordinating or Managing Life Stages, Transitions and Supports

Assistance To Access Or Maintain Employment or Higher Education

Assistance with Daily Personal Activities

Community Nursing

Development of Daily Living and Life Skills

Early childhood intervention

Group or Centre Based Activities

High Intensity Daily Personal Activities

House Hold Tasks

ImplementationOf Restrictive Practices

Implementing Behavior Plans

Individualised Living Options (ILO)

Positive Behaviour Support

Specialised Driving Training

Specialised Positive Behaviour Support

Specialised support Coordination

Supported Independent Living

Therapeutic Support

trusted Transportation

Useful Resources
Useful Resources
Disability Care
Career
Counselling

Career

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Career

Career

We Are Looking Forward to take you onboard

Career Form

First Name

Email

Role Applied

Your Message

Upload pdf file only

Choose File

Upload pdf file only

Choose File

Upload pdf file only

Choose File

By submitting your documents you authorise us to share your information with NDIS and other agencies whenever required.

By submitting your documents you authorise us to share your information with NDIS and other agencies whenever required.

Specialised in Mental Disability, exceptional in Disability Nursing

Forms

Complaints Management Form
Hazrard Identification Report Form
Incident Report Form

Complaints Management Form
Hazrard Identification Report Form
Incident Report Form

Our services

Supported Independent Living
Therapeutic Support
trusted Transportation
Useful Resources

Supported Independent Living
Therapeutic Support
trusted Transportation
Useful Resources

Contact Us

Call us : 044 8971081
info@affectioncare.com.au

C o m p l a i n t s M a n a g e m e n t F o r m

Dear participant: Please complete the following form in the unfortunate event of any incident occurring that did not meet your expectations of care. A formal investigation will commence once we receive the completed form. If you require assistance in the completion of this form, please contact us with provided details. If you want to make anonymous complain, no need to complete your personal details.

Complaint details(to be completed by participant/participant's family)

Is this complaint anonymous:

Yes

No

If assistance required:

Lawyer yes

Lawyer no

Interpreter yes

Interpreter no

First Name

Last Name

Phone:

First Name

Last Name

Phone:

Date of incident (DD / MM / YYYY):

Time (HH: MM):

Date of report (DD / MM / YYYY):

Location:

Address Line 1

Address Line 2

City

State

Zip Code

Country

Witness name (if applicable)

Phone:

Location:

Address Line 1

Address Line 2

City

State

Zip Code

Country

Worker encountered during the incident:

Description of Complaint:

Immediate actions and measures taken by provider in response to the issue:

Immediate actions and measures were satisfactory?

Yes

No

Comments:

Sign off

Report completed by:

Date (DD / MM / YYYY):

Signature

Sign Here

Investigation to be completed by provider

Preliminary findings:

Identified root causes:

Skills and competence

Workplace Environment

Policies & procedures

Communication

Risk assessment

Others

other

Description

Required Actions

Description of actions:

Responsible:

Position:

Phone:

Deadline (DD / MM / YYYY):

Status:

Open

More action required

Closed effectively

Comments:

Outcomes:

Run training/induction session

Review/amend relevant process/documents

Review/update risk register

Create new procedure

Others:

other

Description

Notification

NDIS consultation required?

Yes

No

If yes; date of consultation: (DD / MM / YYYY):

Complaint resolved?

Yes

No

Results communicated with Participant?

Yes

No

Sign Off

Investigation completed by:

Date (DD / MM / YYYY):

Signature

Sign Here