How to carry out risk management when self-managing your Home Care Package

Mrs. Xie said that her health and safety were guaranteed while she self-managed her Home Care Package with Happy Living.


She agreed that she had doubts at the beginning: “Will Happy Living be able to provide me with comprehensive services with such a low price?”, “Can I get effective assistance if and when I encounter medical problems if I choose the self-management model?”


However, her doubts have since been dispelled, little by little, after she signed up with Happy Living.


Step 1. Risk-Localisation by Client Liaison


Based on the feedback from the intake consultant as well as the assessment report from My Age Care, the Client Liaison from Happy Living had a certain degree of understanding of Mrs. Xie’s situation. Therefore, he was able to identify potential risks to her health and wellbeing when developing a customized care plan for Mrs. Xie.


When Mrs Xie was asked whether she had had any falls recently, Mrs. Xie touched lightly on the fact that she had had a trip on the carpet in the living room last month, but it was nothing serious. Before that, she has also slipped once in the bathroom after a shower. ‘But never mind, it was not a big deal’, Mrs. Xie said.


However, this is not a trivial matter to be ignored from the Client Liaison’s standpoint. Instead, he considered that there could be various reasons behind these accidents, which may lead to serious consequences in the future. For example, a reduced ability to balance by an older person, or an osteoporosis diagnosis, can both trigger falls. On the other hand, some older people who had had a fall previously may experience negative emotions such as fear, anxiety and distress, which may cause another fall. Some other older people’s activities are restricted by the residential environment. For instance, there is a lack of suitable support equipment and supporting safety facilities.




  1. Risk-Analysis by clinical team


When she signed with Happy Living, Mrs. Xie’s Care Coordinator liaised with the Happy Living Clinical Team. After their analysis, the registered nurse from the clinical team believed that there were a few potential risks that could trigger another fall for Mrs Xie:


  1. Xie had difficulty moving.
  2. Xie had no walking stick to use.
  3. The carpet in Mrs. Xie’s living room was lumpy.
  4. There was no handrail in Mrs. Xie’s bathroom.
  5. Xie was home alone a lot of the time.



  1. Substantial Risk-Monitoring by the Care Coordinator.


The clinical team at Happy Living put together the potential risks and appropriate solutions before communicating with the Care Coordinator who would be responsible for the direct contact with Mrs. Xie.  The Care Coordinator communicated the opinions and suggestions from the clinical team directly with Mrs Xie. They also explained the potential risks and possible consequences to Mrs. Xie. Mrs. Xie was then given suggestions of feasible solutions to the corresponding problems. As required, Mrs. Xie was also recommended an Occupational Therapist, a Physio Therapist, and other professionals for necessary assessments and guidance.


Therefore, Mrs. Xie had the guidance of a qualified Occupational Therapist (O.T.) who made a comprehensive assessment of her home safety based on the advice from her Care Coordinator. As her the O.T.’s recommendations she had the handrails installed in the bathroom and had her uneven carpet fixed. Better still, she had also purchased an emergency alarm and is now receiving regular treatments from physiotherapists.