This review examines a house with three participants, Kylie, Karen, and Graham. As a result of our collaboration with this service provider, we were able to achieve an increase in support and recover significant overservicing.

Please note that names, addresses, and exact amounts have been changed for privacy purposes.

ANALYSIS
Our analysis identified that this house had $12,578 in total funding per week and a claimable roster cost of $14,922 per week ($10,624 in actual staff costs). This meant that the support being provided to this particular house was costing the provider approximately $1,668 per week.

We met with the Team Leader and the Operations Manager to discuss the roster and specifically the need for an active overnight shift. As part of this conversation, we came to understand that Kylie had some complex needs that could not be sufficiently met with her current funding levels and simply reducing the level of support was not an option.

CHANGE OF CIRCUMSTANCE SUCCESS
As part of our service offering, we developed an action plan for the house. In the subsequent 3-week period we worked with the client services staff, completing a risk assessment and providing tracking tools to gather the necessary evidence. Once the data had been collated and reviewed, in conjunction with a comprehensive OT report, a Change of Circumstance was submitted.

As a result of these combined efforts, an increase of funding for Kylie was approved by the NDIA. This was a fantastic outcome for the participant and the service provider, not only recovering the provider almost $90,000 in annual support costs but most importantly ensuring that the right level of care could continue to be delivered for the participants.