1. 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

2. 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

3. 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

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

6. Ceiling hoist considerations
Person
Assistive technology
Environment

7. 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

8. 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?

9. So what triggered a review?

10. 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

11. 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

12. 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

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

14. 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

15. 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

16. Thank You! Phone: 1300 295 786 Repairs: 1300 130 302
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