We work closely with people we support, families and carers to develop Individual Support Plans (ISPs) tailored to the wants, needs and NDIS goals of the person accessing our services. This process is an opportunity for people we support to have a say in the way they receive support, ensuring they maintain choice and control over their lives.
Individual Support Plans
All people supported in our services must have an up-to-date ISP, with the person we support at the center of the planning and decision-making about their supports.
We have developed an ISP template to make the planning process simple and straightforward. This collaborative approach ensures each person we support has an Individual Support Planning meeting regardless of what supports they receive across our services
Planning Process
The planning starts with a chat between us, the person we support and their support network. We discuss
- Their needs, wants and NDIS goals.
- How they want to receive support to achieve their NDIS goals.
- What risks there are.
- How to mitigate risks if they arise.
The planning is all about the person we support and what works best for them.
Stakeholder Engagement
It is important the person we support chooses who they want to be involved in the planning process. If someone can’t attend, we note their reasons.
We also make sure a decision-maker or advocate is there if the person we support needs help making choices, and document how the support will be delivered if someone isn’t involved.
Plan Coordination
All Site Managers prepare and maintain an annual schedule of planning meetings using QF 1100.05 Planning Meeting Schedule.
The Site Manager from the chosen service coordinates the plan, keeping everything simple by having one planning meeting. Delegation for leading the coordination of the ISP is outlined below.
Click here to download QF 1100.05 Planning Meeting Schedule.
Home leads the planning if the person we support receives any home services, regardless of other supports.
For Community and Work portfolios, the portfolio providing the most support leads the planning.
Exceptions are made if portfolios agree on a better lead, provided the “One Person, One Plan” principle is upheld.
Preparation
Preparation begins one month before the planning meeting. Using QF 1100.10: Planning Meeting Checklist, we finalise meeting details with the person we support and relevant documents are gathered.
We offer online, in person or phone call meetings to ensure people in our services have the ability to attend.
Click here to download QF 1100.10 Planning Meeting Checklist
Meeting
During the meeting, the support team reviews progress and creates a new Individual Support Plan (ISP) with goals and actions. Together, the team considers:
- Time or support needed to achieve goals.
- Costs for activities or events in the plan.
- How the service can help.
- Ways to bring the plan to life.
- Responsibilities of each team in the plan.
- Potential risks using QF 1100.19 Personal Risk Assessment.
Once needs and support options are finalised and approved, everyone receives a copy of the final plan.
Finalising and Implementation
The final ISP is documented, covering goals, strategies, and support details. If needed, a simpler version is created so the person we support understands what is in their plan.
Recording
To track progress toward goals and actions in the ISP, progress notes are recorded in Carelink or using QF 1100.12 Individual Support Progress Notes. Notes are categorised as either:
- P: Plan Outcomes/Actions.
- H: Health matters.
- S: Support information not directly linked to plan outcomes.
Click here to download QF 1100.12 Individual Support Progress Notes
Review
The Site Manager or Support Worker reviews the progress notes and completes the QF 1100.02: Plan Progress Summary every quarter to ensure the person we support is progressing towards their goals.
The QF 1100.17 What Have We Discovered resource can also help to record any new discoveries, likes, dislikes or opportunities to explore over the next 12 months