2022 Edition

Home Care and Support Services (CA-HCS) 8: Coordinated Home Management, Activities of Daily Living, and Health Services

Sufficient community resources are drawn upon and frequently reviewed to provide each individual or family with:
  1. a comprehensive package of services; and
  2. a flexible approach to service delivery that meets their changing needs.


Viewing: CA-HCS 8 - Coordinated Home Management, Activities of Daily Living, and Health Services



Individuals who receive Home Care and Support Services obtain a maximum level of independence, functioning, and health, and extend the time it is possible to live safely at home and in the community.
Examples: A service “package” refers to the number and combination of different services, and volume of care. This perspective acknowledges that users of services are a diverse group who need a variety of services with varying combinations and frequencies.

Examples: Services provided directly or by a cooperating provider can include:
  1. housekeeping tasks and home management activities and education;
  2. companionship;
  3. chores, safe food handling and storage, and nutritious meal preparation;
  4. assistance with personal care;
  5. monitoring of overall health and well-being including observing, reporting, and documenting changes in bodily function;
  6. assistance with self-administered medications;
  7. assistance or prompting with activities of daily living;
  8. assistance with personalizing homes and purchasing personal necessities;
  9. assistance with ambulation and transfer; and
  10. assistance with accessing community activities, including access to transportation.
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice Standards.
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions, procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
  • Active client participation occurs to a considerable extent.
Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • Several client records are missing important information; or
  • Client participation is inconsistent. 
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
  • No written procedures, or procedures are clearly inadequate or not being used; or 
  • Documentation is routinely incomplete and/or missing.      
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
No Self-Study Evidence
  • Community resource and referral list
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records