Best Care (Whakapai Hauora) Charitable Trust
Job Description
KAIHANGA KAHA
Position: Kaihanga Kaha
Accountable to: Chief Executive Officer
Reports to: Whānau Ora and Health Promotion Team Leader
Functional Relationships: Te Mauri o Rangitāne o Manawatū
Best Care (Whakapai Hauora) Charitable Trust
Tanenuiarangi Manawatū Inc. Staff
Te Hotu Manawa o Rangitāne o Manawatū Marae Staff
Kia Ora FM Staff
Tangata Whaiora/Whānau/Hapu/Iwi
Relevant External Community and Government Agencies
Hours of Work: Monday to Friday – 8.00 am to 5.00 pm
Tikanga and Kawa: The governing tikanga and kawa of all Whakapai Hauora services is Rangitāne.
Primary Function: To contribute to Whakapai Hauora Vision and Mission whilst providing services to Kaumatua inclusive of their whānau of Best Care (Whakapai Hauora) Charitable Trust.
Summary of Position: 1. To work with Kaumātua who have been identified as having early signs of frailty and supporting them to manage their frailty so they can continue to enjoy a good quality of life, maintain their functional ability, reduce visits to hospital and maintain whānau ora.
2. Kaumātua who can access this service will generally be 65+, if non-Māori and 50+, if Māori but in the case of Māori, ones younger than 50 may access the service if they also:
• Achieve ˃ 4 on Rockwood Clinical Frailty Scale; and
• Have one or more of the following :
o Change in function – mobility and/or ADL’s;
o Cognitive decline as per Dementia Pathway;
o Recurrent. unexplained falls as per Falls
Health Pathway;
o Complex social challenges;
o Client/career request for specialist
assessment;
o Potential older adult mental unwellness input
indicated.
Equity: This approach is not creating a barrier based on age and will ensure equity for Māori and in provision of this service, the OPAL CS will intentionally prioritise and utilise affirmative pro-equity approaches regarding referral response, appointment scheduling and clinical assessment based on referrer information of data.
Kaumātua Who Will Not Require Service: Kaumātua who are under end of life or urgent care will not require the service as will Kaumātua whose primary need is equipment or home support (e.g., personal care and/or home help), as this is provided by Supportlinks.
Meaning of Job Title: Kaihanga Kaha (Kaumātua) – Strength Builder
Diversity of options around how the role can support strengths around our Kaumātua.
Key Tasks
Performance Standards
1. The service shall be underpinned by Te Tiriti o Waitangi and Whānau Ora. 1.1 Work within the framework of Te Tiriti o Waitangi.
1.2 Work under the umbrella of Whānau Ora namely:
Kōtahitanga – Whānau Cohesion
Hauoranga – Healthy Whānau Lifestyles
Rangatiratanga – Whānau Self-Management
Pūkenga Rawa – Economic Security & Wealth Creation
Pāporitanga – Participation in Society
Tuakiritanga – Confident Participation in Te Ao Māori
Tiaki Taiao – Responsible Stewards of Living and
Natural Environments.
2. Support our Kaumātua to maintain Whānau Ora.
2.1 Such activities may include:
Description Sub-Outcome Indicator
HAUORANGA
Healthy Whānau Lifestyles
Whānau/families are engaged in healthy lifestyles that facilitate flourishing and resilience.
Whare Tapa Wha Wellbeing
• Kaumātua are supported through Kaumātua activities that support their whare tapa wha wellbeing.
• Supporting referrals to balance, retraining the muscle, strengthening programmes to maintain muscle mass, improve mobility and reduce falls.
• Support access to home and mobility equipment to support independent living e.g. applications to Lotteries for mobility scooter.
• Support engagement and advocacy with OPAL Community Services Team.
• Support Kaumātua experiencing tinana unwellness e.g. anxiety, depression, onset of dementia etc.
• Support Kaumātua to access Pātaka Services as required.
Whānau satisfaction with access to culturally appropriate health and wellbeing services.
• Kaumātua cultural rights and views are honoured by the Older Peoples Assessment and Liaison Community (OPAL) Services and other services Kaumātua are supported to access.
RANGATIRATANGA
Whānau Self-Management
The ability for whānau/families to meaningfully actualise individual and whānau/family aspirations and manage their own affairs, stressors and live events.
Connection to Community • Kaumātua actively accessing community resources (community centres, age concern, swimming pools walkways etc.).
Education • Kaumātua accessing support with education opportunities e.g., Computer Courses.
Kaumātua are in home ownership or stable, warm housing. • Increase in number of Kaumātua with insulated housing (free of mould and mildew).
• Number of Kaumātua supported into housing or other accommodation.
Kaumātua have participated in the creation of a Whānau Ora Plan. • Number of Kaumātua with completed Whānau Ora Plans.
• Number of Kaumātua progressing with Whānau Ora Plans.
Medication management support. • Support Kaumātua with medication reviews with the OPAL Community Services Team.
Application of Clinical Frailty Score (CFS). • Becoming proficient with CFS applications and socialising score with referrers to encourage them to use when referring to service.
KŌTAHITANGA
Whānau Cohesion
Whānau/families and communities are strong, supportive, connected and have adaptive resiliency skills.
Kaumātua are able to maintain their independence and remain at home. • Kaumātua programmes to assist them to self-manage.
Whānau Caring for Whānau. • Whānau actively caring for Kaumātua/Elders in their whānau or community.
Kaumātua can overcome and achieve desired whānau outcomes despite adverse situations. • Number of Kaumātua participating in navigation or advocacy support to access and use health and wellbeing services.
Support OPAL team with home visits to Kaumātua to help build a positive relationship with the team. • Number of home visits undertaken.
• Level of support provided in assessments and care planning.
Support for Kaumātua when discharged from hospital. • Number of discharges supported with plans and arranging transfer’s home.
• Number of post-hospital follow up visits.
PĀPORITANGA
Participation in Society
Kaumātua maintain ability to participate fully in society. • Number of Kaumātua Programmes provided.
• Number of events Kaumātua supported to attend.
• Number of actions that support Kaumātua independence.
• Supporting Kaumātua to attend appointments and visits to Emergency Department as required.
• Number of referrals into OPAL CS.
• Promotion of OPAL CS amongst Iwi/Māori community.
TUAKIRITANGA
Confident Participation in Te Ao Māori
Kaumatua maintaining ability to live in Te Ao Māori. • Support Kaumātua to access te Ao Māori Services e.g. Kapa Haka, Te Reo Classes, Māori based Church services etc.
• Number of Kaumātua supported with whakapapa and Iwi linkages.
TIAKI TAIAO
Responsible Stewards of Living and Natural Environments.
Kaumātua continuing to be responsible stewards of living and natural environments. • Number of Kaumātua supported with Maara Kai gardens to support independence.
• Number of Kaumātua that awhi environmental wellness and sustainability.
3. Develop and maintain strong linkages with OPAL CS and other networks that contribute to Kaumātua independence and Whānau Ora.
3.1 The OPAL CS Team consists of:
• Geriatrician;
• Clinical Nurse Specialist;
• Occupational Therapist;
• Physio Therapist;
• (TBC);
• Social Worker;
• Allied Health Assistant;
• SupportLinks Assessor; and
• Older Adult Mental Health Nurse.
4. Assist in managing referrals into the service. 4.1 Referrals can come from:
• Iwi/Māori Providers;
• Elder Age Networks;
• GP Teams;
• Community NGO’s;
• Other Kaumātua Services;
• Hospice; and/or
• Hospital Based Services.
5. Other functions of role. 5.1 Other key responsibilities of the role include:
• Promote OPAL CS, educate on frailty and work with iwi providers on identifying Kaumātua who might benefit from specialist assessment;
• Support iwi providers to identify and access services;
• Build a relationship and rapport with Kaumātua and whānau – walking alongside the client’s journey ;
• Educate whānau on frailty, and the purpose of the OPAL CS;
• Help identify wellness goals and aspirations in tandem with OPAL CS clinician (incorporating te whare tapa whā – wider family, social, mental, spiritual needs). The interface role can make initial contact with the client where appropriate;
• Assist key workers to conduct the Kaupapa components within the OPAL CS Bi-Cultural Assessment Form; and
• Educating and upskilling of OPAL CS Team members on Te Ao Māori and culturally appropriate assessment techniques.
6. Participate in forums, groups etc. supporting Kaumātua Wellbeing in our City. 6.1 Such activities include:
• Being part of any 4412 Kaumātua Squad and/or initiative;
• Participation in interviews with external agencies around our activities in the Kaumātua space; and
• Participate in the development of strategies towards growing Kaumātua independence in our City.
7. Maintenance of Records and Reporting 7.1 Completing reports to funders as required.
7.2 Provision of presentations to promote the services.
7.3 Completes other reports as required for management.
8. Participate in total quality management practices and activities and Whakapai Hauora policies, including accreditation with DAA.
8.1 Participate in the maintenance of accreditation process with DAA and other audits etc.
8.2 Adheres to principles of continuous quality improvement.
8.3 Adheres to OSH standards.
8.4 Adheres to Land Transport Authority rules and regulations while using Whakapai Hauora vehicles.
8.5 Know whereabouts of copies of laws/bylaws policies and standing orders and has knowledge of the same.
8.6 Works within and co-operates with overall quality policies and assurance processes established by Whakapai Hauora.
8.7 Participates in multidisciplinary team meetings, Combined Team Hui, and other necessary internal hui.
9. Accept responsibility for your own professional development and keep up to date with professional training and skill base to provide the best possible support to Whakapai Hauora clients. 9.1 Attend relevant educational training opportunities as appropriate.
9.2 Participate in in-service and external education training programmes including peer review.
9.3 Seek annual performance appraisal, using the opportunity to set specific goals in order to improve performance.
9.4 Assist in training and learning opportunities for students in training as appropriate.
9.5 Maintains a high standard of professional practice in accordance with relevant regulatory requirements, ethics and standards as set by the relevant professional group.
10. Provide peer support and is involved and works in a manner which enhances the principles and practice of continuous quality improvement. 10.1 Demonstrate an ability to establish and maintain effective and positive work relationships. Display an ability to work effectively under pressure.
10.2 Flexible and available to colleagues for advice/support.
10.3 Maintains effective communication between various levels of staff and links with other relevant professional and organisations.
10.4 Involves other staff in “co-worker” roles as appropriate.
10.5 Undertakes tasks and responsibilities associated with the team and service management as agreed within the Team.
10.6 Works to achieve effective multi-disciplinary practice.
13. Bi-Cultural Needs. Demonstrates acceptance and understanding of Te Tiriti o Waitangi and its principles and is able to integrate these into practice.
13.1 Takes the initiative to ensure that Māori needs are addressed as required.
13.2 Consults and seeks advice whenever necessary to ensure clients wellbeing is achieved.
13.3 Is aware of differing spiritual beliefs and protocols amongst whānau and iwi groups.
13.4 Works with all clients in a culturally sensitive manner.
13.5 Is aware of differing cultural perspectives on physical and mental health needs of those represented in the client population.
14. Undertake such other tasks to meet the objectives of Whakapai Hauora in meeting the needs of clients and Whānau.
14.1 Undertake such other duties as are necessary to ensure the objectives of
Whakapai Hauora are met and the Role is fulfilled.
Ideal Person Specifications:
The ideal person is one who:
1. Has an appreciation of the diverse nature of Māori Health and welfare and a passion to work with Kaumātua.
2. Understanding of tikanga Māori and marae protocol. (Knowledge of the tikanga and kawa of different iwi particularly in the surrounding area is desirable).
3. Has an understanding of Hauora particularly kauae runga (spiritual), kauae raro (physical) and is able to articulate this throughout service delivery.
4. Practices within a philosophy which recognises Te Tiriti o Waitangi and Whānau Ora in a manner which is culturally safe.
5. Is flexible enough to participate as a team member in a Māori driven and managed setting.
6. Can work with Māori and their whānau to appropriately assist with determining and meeting their needs.
7. Can provide a kaupapa Māori approach to needs assessment and service delivery.
8. Can ensure cultural safety for clients in terms of service planning, implementation, education and policy development.
9. Has a current clean drivers licence.
Being A Good Employer
• Whakapai Hauora is committed to policies of bicultural responsiveness and equal employment opportunities for all team members.
Commitment to Whakapai Hauora
• The appointee is required to support and show dedication and commitment to the kaupapa of Whakapai Hauora (corporate mission, goals and objectives). It is helpful if the appointee possesses adequate knowledge of tikanga Māori to ensure an easy rapport with Māori people. The appointee is expected to possess enthusiasm for adding a Māori dimension in the performance of work duties.
Amendments to Job Description
• Whakapai Hauora reserve the right to amend this job description subjected to ongoing re-negotiation of its contracts with Te Whatu Ora.
