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© 2023 Coast Wide Training Solutions | CHCCCS040 Student Assessment Kit V1.0-23 1 CHCCCS040 Support Independence and Wellbeing (Release 1) Student Assessment Kit Student Name: Date: Assessor Acknowledgement The student has satisfactorily completed the following assessment components: Yes No Assessment 1 – Theory Questions ☐ ☐Assessment 2 – Case Study ☐ ☐Assessment 3 – Practical Skills Demonstration ☐ ☐The student has been provided with feedback and informed of the assessment result and the reasons for the decision. Assessor Name: Assessor Signature: Assessment Start Date: Assessment Outcome Date: Assessor's Feedback: Student Acknowledgement: I have been provided with feedback on the evidence I have submitted. I have been informed of the assessment result and the reasons for the decision. Student Signature: Feedback Received Date: SAMPLE

CHCCCS040 Support Independence and Wellbeing Student Assessment Kit © 2023 Coast Wide Training Solutions | CHCCCS040 Student Assessment Kit V1.0-23 2 Disclaimer This pack contains information that is correct at the time of printing. Changes to legislation and/or training products may impact on the currency of information included. The training provider reserves the right to vary and update information without notice. Readers are advised to seek any changed information and/or updates from the training provider. This pack has been prepared as a tool to assess a student’s level of understanding and achievement toward the requirements of the unit of competency. All students must read, understand, and follow the instructions, responding to the tasks as outlined in this pack. © 2023 Copyright Coast Wide Training Solutions: ABN: 3776 4517 692. This document is protected by copyright laws. It was designed and developed by Coast Wide Training Solutions and remains the sole property of Coast Wide Training Solutions. This document may not be reproduced in any way without the prior written authorisation of Coast Wide Training Solutions. This document was originally developed by Coast Wide Training Solutions but may now be altered from the original form. Coast Wide Training Solutions does not accept any liability for these resources and tools, the content and/or any reliance thereon. Any queries can be directed to: Coast Wide Training Solutions ABN: 3776 4517 692 1/45 Black Hill Road Black Hill, NSW, 2322 PH: 0425 353 277 E: jodie@coastwidetraining.com.au www.coastwidetraining.com.au Version Control Version: Date: Details of Changes: 1.0 February 2023 Initial release SAMPLE

CHCCCS040 Support Independence and Wellbeing Student Assessment Kit © 2023 Coast Wide Training Solutions | CHCCCS040 Student Assessment Kit V1.0-23 3 Contents Student Assessment Kit........................................................................ 1 Assessor Acknowledgement .................................................................. 1 Contents ......................................................................................... 3 Unit Application .............................................................................. 4 Elements and Performance Criteria ....................................................... 4 Performance Evidence ...................................................................... 5 Knowledge Evidence ........................................................................ 5 General Instructions ........................................................................... 7 Assessment Components ..................................................................... 7 Resources Required ......................................................................... 7 Assessment Practices .......................................................................... 8 Student Declaration ........................................................................... 10 Assessment 1 – Theory Questions ...........................................................11 Assessment 2 – Case Study ..................................................................36 Case Study 1 ................................................................................ 37 Case Study 2 ................................................................................ 43 Case Study 3 ................................................................................ 51 Assessment 3 – Practical Skills Demonstration ............................................56 SAMPLE

CHCCCS040 Support Independence and Wellbeing Student Assessment Kit © 2023 Coast Wide Training Solutions | CHCCCS040 Student Assessment Kit V1.0-23 7 General Instructions Assessment tasks are used to measure your understanding and underpinning skills and knowledge of the overall unit/s of competency. When undertaking any written assessment tasks, you are to ensure that you focus on the set tasks and that all written work is legible. Prior to commencing the assessments, the assessor will explain each assessment task and the terms and conditions relating to the submission of the assessment task. It is important that you understand and adhere to the terms and conditions and address each assessment task fully. If any assessment task is not fully addressed, then the assessment task will be returned to you for re-submission. Assessment Components The assessor will examine all of the required assessment evidence submitted for this unit of competency and decide whether: a. Satisfactory performance has been demonstrated for this assessment, or b. Satisfactory performance has not yet been demonstrated. If you are deemed as unsatisfactory, you will need to discuss with the assessor any further evidence required. You may only need to be reassessed on the area that was not assessed as satisfactory. Please note that you must satisfactorily complete all assessment tasks to be deemed competent for this unit. You cannot be signed off as competent for this unit until any/all workplace and/or practical experience requirements have been met. Resources Required You will require the following resources before undertaking this assessment: ☐ Basic stationary. ☐ Computer/laptop and stable internet connection. ☐ CHCCCS040 Student Assessment 1 - Theory Quiz V1.0 ☐ CHCCCS040 Student Assessment 2 - Case Study V1.0 ☐ Care Plan 1 – Charlie Baker – Disability ☐ Care Plan 2 - Angela Freeman – Disability ☐ Care Plan 3 – Carla Johnson - Disability ☐ CHCCCS040 Student Assessment 3 - Practical V1.0 ☐ CHCCCS040 Work Verification Report V1.0 ☐ Suitable workplace for practical demonstrations. Assessment will be conducted in a safe environment where evidence gathered demonstrates consistent performance of typical activities experienced in the community care sector and will include access to: • Real working conditions and contingencies as well as using suitable facilities, equipment and resources, including: SAMPLE

CHCCCS040 Support Independence and Wellbeing Student Assessment Kit © 2023 Coast Wide Training Solutions | CHCCCS040 Student Assessment Kit V1.0-23 11 Assessment 1 – Theory Questions Instructions This assessment has been designed to allow you to demonstrate your knowledge and written communication skills. These questions form the underpinning theoretical knowledge of the unit of competency. You will need to demonstrate a sound knowledge of the topic in your responses and answer all the questions provided. You are required to answer all questions correctly to achieve a satisfactory result. You must read the questions and record your response in the space provided or indicate the correct response from a number of given options. You are able to refer to the Learning Guide, workplace policies and procedures, workplace templates and other materials to complete this task. Section 1: Human Needs and Development Q1.1. According to Abraham Maslow, people have a range of needs that extend from the most basic to deeper psychological or intellectual needs. Complete Maslow’s Hierarchy of Needs by labelling each level. 1.3, K1, K1.1, K1.2, K2 Outcome Satisfactory ☐ Not Satisfactory ☐ SAMPLE

CHCCCS040 Support Independence and Wellbeing Student Assessment Kit © 2023 Coast Wide Training Solutions | CHCCCS040 Student Assessment Kit V1.0-23 14 Section 2: Human Health and Wellbeing Q2.1. For each of the following health terms, provide a brief summary of its meaning. K6 Physical health Psychological health Optimal health Q2.2. People with a disability are more susceptible to mental health symptoms. True or False? 4.7, K6.1, K7, K13 ☐ TRUE ☐ FALSE Outcome Satisfactory ☐ Not Satisfactory ☐ Outcome Satisfactory ☐ Not Satisfactory ☐ SAMPLE

CHCCCS040 Support Independence and Wellbeing Student Assessment Kit © 2023 Coast Wide Training Solutions | CHCCCS040 Student Assessment Kit V1.0-23 20 Section 3: Providing Support Q3.1. Briefly describe the following service delivery models. K11 Home care Living Communities or Apartments Residential care Q3.2. When caring for a person, what would you do to demonstrate treating someone with dignity? Describe two (2) examples. K17 i. ii. Outcome Satisfactory ☐ Not Satisfactory ☐ Outcome Satisfactory ☐ Not Satisfactory ☐ SAMPLE

CHCCCS040 Support Independence and Wellbeing Student Assessment Kit © 2023 Coast Wide Training Solutions | CHCCCS040 Student Assessment Kit V1.0-23 25 Section 4: Legal and ethical requirements Q4.1. What is your duty of care as a support worker? K18.1 Q4.2. List three (3) common hazards you may come across when supporting a client? 3.3 i. ii. iii. Q4.3. If you found a hazard or risk during an inspection that you were unable to rectify. What would you do? 3.3, K18.1 Outcome Satisfactory ☐ Not Satisfactory ☐ Outcome Satisfactory ☐ Not Satisfactory ☐ Outcome Satisfactory ☐ Not Satisfactory ☐ SAMPLE

CHCCCS040 Support Independence and Wellbeing Student Assessment Kit © 2023 Coast Wide Training Solutions | CHCCCS040 Student Assessment Kit V1.0-23 29 Section 5: Deterioration, Neglect, and Abuse Q5.1. In the table below, give three (3) examples of indicators that may alert you to a decline or deterioration in a person’s… 3.4, 3.5, K7, K16 …Behaviour i. ii. iii. …Physical condition i. ii. iii. …Mood i. ii. iii. …Expressed thoughts i. ii. iii. …Physical symptoms not linked to existing issues i. ii. iii. Outcome Satisfactory ☐ Not Satisfactory ☐ SAMPLE

CHCCCS040 Support Independence and Wellbeing Student Assessment Kit © 2023 Coast Wide Training Solutions | CHCCCS040 Student Assessment Kit V1.0-23 36 Assessment 2 – Case Study Instructions This assessment has been designed to assess your practical application of the knowledge of this unit of competency. You will need to demonstrate a detailed knowledge of the topic in your responses and answer all the questions provided. You are required to read the case study provided and complete all questions correctly to achieve a satisfactory result. You must read the question, referring to the case study and record your response in the space provided. Your written responses, unless otherwise stated, must be a minimum of 1 paragraph. You are able to refer to the Learning Guide, workplace policies and procedures, workplace templates and other materials to complete this task. SAMPLE

CHCCCS040 Support Independence and Wellbeing Student Assessment Kit © 2023 Coast Wide Training Solutions | CHCCCS040 Student Assessment Kit V1.0-23 48 g) Your immediate role is to work with Angela to get their house, hygiene, medication, and employment back to its previous state or to a state where Angela’s overall wellbeing improves. Complete the following action plan to detail how you will work with Angela to do this. Using the first example as a guide, provide five (5) more actions that will assist Angela to improve their overall wellbeing and independence. 1.1, 1.3, 1.4, 1.5, 2.2, 2.3, 2.4, 2.5, 3.1, 3.2, 4.2, 4.3, K5, K6, K6.1, K6.2, K6.4, K6.5, K6.6, K17, K18.7 Area of support required Actions Person Responsible External Services / Networks Required Outcomes Financial assistance Support Angela to contact Centrelink to apply for assistance Angela & support worker Services Australia (Centrelink) Advocacy services Provide financial security and ability to purchase food and hygiene products SAMPLE

CHCCCS040 Support Independence and Wellbeing Student Assessment Kit © 2023 Coast Wide Training Solutions | CHCCCS040 Student Assessment Kit V1.0-23 56 Assessment 3 – Practical Skills Demonstration Instructions Due to the nature of vocational learning, the assessment of the practical skills of this unit of competency cannot be entirely conducted by the assessor. To ensure the integrity of the assessment and that you are authentically acquiring the skills required by the unit, the assessor requires a workplace supervisor to observe your performance and verify the skills acquired. Involving a workplace supervisor as a third party in the collection of evidence allows assessors to gather authentic and valid evidence of your real work performance under real working conditions. The purpose of the Workplace Verification Report is for the assessor to verify and record your progress towards achievement of competencies. It contains a record of all the competencies required for this assessment and must be acknowledged by the third-party, yourself and the assessor. Details of competencies in which you must perform, and the assessor must acknowledge are listed on the following pages. The Workplace Verification Report… • Identifies tasks that you will need to undertake. • Details the instructions that the supervisor, will need to follow. • Allows the supervisor to record their observations of you and additional comments. • Allows the assessor to validate supervisor feedback and add their own comments. • Is an important record of your achievements and must be completed in full and returned on completion of the assessment. • Provides additional evidence to support the competencies required for this unit of competency to be achieved. The supervisor must complete all the sections in the report after observing you throughout the task requirements. The supervisor will complete each section and your opinion of if you demonstrated the skills described by adding comments and feedback. Responsibilities You are responsible for: • Providing the Verification Report to the supervisor. • Ensuring the Verification Report is completed by the supervisor before submitting it to the assessor. The workplace supervisor is responsible for: • Facilitating the practical activities. • Observing the performance of the student • Reviewing and monitoring your performance by indicating observations and providing feedback to the assessor. • Discussing observations and feedback with the assessor. SAMPLE

CHCCCS040 Support Independence and Wellbeing Student Assessment Kit © 2023 Coast Wide Training Solutions | CHCCCS040 Student Assessment Kit V1.0-23 60 Task 2. Record of Hours Timesheet You are required to complete 120 hours of direct client support to successfully complete this unit. Use the table in the Workplace Verification Report to record your hours and have your workplace supervisor sign off to confirm completion. Do not record any break times. Record comments about your main duties in the space provided. End of Assessment 3 End of Student Assessment Kit SAMPLE