Ceiling Hoists: Let’s raise the requirements to the ceiling Agnieszka Kuna, Manager Specialist Equipment Services Lisa-Marie Arthur and Matthew Massy-Westropp Domiciliary Equipment Service Department for Communities and Social Inclusion

Provision of ceiling hoists Changing trends DES Provision of ceiling hoists Changing trends Risks – client, user, funder Equipment vs Home Modification Review of practice Considerations Cartoon from www.usatipsonline.com

What is DES? SA government provider since 1996 of: Equipment - readily available and customised Equipment repairs, maintenance and modifications Home modifications - simple to complex Clinical support and technical expertise Centralised warehouse and procurement Focuses on refurbishment of 50,000 loan items = responsive and more efficient

Ceiling hoists What and why? Mobile vs ceiling Gantry vs fixed tracking Portable vs fixed motor Advantages and disadvantages

Ceiling hoist considerations Person Assistive technology Environment

Ceiling hoist considerations Person Person with a disability – functional capacity, prognosis Care giver providing assistance – consideration of ‘work’ environment Environment (for installation) Private home vs Work setting Construction requirements and standards Physical limitations and space Ownership of property Assistive technology & Funding Specifications of item Policy of the funder

Context in SA Funding Specific eligibility criteria Numbers of hoists vs ceiling hoist (provide percentage) Installation Installed by ceiling hoist suppliers Equipment item But is it?

So what triggered a review? http://activerain.com/blogsview/3573368/funny-friday-s-tgiff-call-it-what-you-like-there-s-a-hole-in-the-roof

Changing trends Reforms Reforms in both ageing and disability Funding changes – where equipment impacts care hours. Ability to evaluate life-cycle costs and whole of life costs and effectiveness of items Environmental House and room size Impact on manual tasks for care givers New technology changing functionality of slings and tracking

Risks Incidents – related to tracking, straps or use Product failure – maintenance schedule and responsibility Construction – asbestos, termites, roof trusses and loading Costs associated with re-positioning due to changed needs

Roof trusses and New home construction In 2002 sections of the prefabricated timber roof truss frame at the Riverside Golf Club, in South Australia, collapsed (Raising the roof: a guide to roof truss safety) Prefabricated trusses are used extensively in the building industry It cannot be assumed that roof trusses are capable of supporting additional loads after manufacture Without engineering checks, could lead to failure cartoon – renewableenergyworld.com

Is this assistive technology an equipment item or a home modification? What about other items: Bidet (with the required RPZ devices) Electronic door openers

Other considerations Responsibility – for ensuring correct installation, ongoing review, programmed maintenance, building structure remains intact, training in use Property Ownership and consent – to install ceiling hoist Legislation – NCC and AS Work environment (work health safety) Quality service Installation and by whom Engineering checks

What have we done and what do we plan to do? Specification forms with sign off from home owner Engineer sign-off Process in place Admin support dedicated to overseeing these Panel of providers Comparison chart & clinical considerations Programmed maintenance

Thank You! Phone: 1300 295 786 Repairs: 1300 130 302 Email: des.frontdesk@sa.gov.au Catalogue: www.des.domcare.sa.gov.au Web: www.des.sa.gov.au