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Complaints and referrals

In this section:

4.1 Complaints by participants/supported employees

Responsibilities of the service provider

Service providers have a responsibility to ensure that they create an accessible, fair and impartial complaints handling process in their organisation. They must ensure that participants/supported employees are informed of and trained in the complaints process, and are supported to use it. Where complaints about a service provider cannot be resolved satisfactorily through an internal complaints system, service providers should be aware of the available external mechanisms for appropriate complaints resolution.

Beyond the level of individual complaints, service providers should develop an organisational culture where complaints are welcomed as a way of improving service delivery. This means learning from complaints by linking complaints information into systems for organisational change, such as continuous improvement processes.

Complainants have the right and should be given the opportunity to approach external complaints processes at any stage in your resolution process. This includes for example, the Complaints Resolution and Referral Service, the National Disability Abuse and Neglect Hotline, the service provider's relevant funding body, the Privacy Commissioner, or the Ombudsman.

Be aware that when responding to any complaints, even in extremely frustrating and difficult situations involving unfounded allegations, your dealings with the complainant (in writing, verbally or in any other format) must adhere to the Disability Services Standards. This means that critical, hostile, judgmental or personal comments must be avoided at all times.

Principles to use when responding include:

This section provides further detail about service provider's responsibilities in these areas.

Rights of the participants/supported employees when receiving a service1

What rights can participants/supported employees reasonably expect when receiving a service?

  1. To have basic needs met
  2. To be safe and have a healthy environment
  3. To have accurate information
  4. To be consulted and have choice within the limits of the program
  5. To have quality of service
  6. To be represented
  7. To have access to education about rights
  8. To participate socially and have social responsibilities
  9. To be heard in relation to a problem and seek redress

Many of these rights are articulated in the Disability Services Standards.

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Checklist: Is your service supporting participants/supported employees?

  1. To have basic needs met
    Participants/supported employees have the right to basic goods and services which guarantee survival, development and wellbeing, including services which meet quite individual needs, and which respond as needs change.
Does our service provide participants/supported employees with appropriate access to: tick
Privacy, confidentiality, respect for human worth and dignity?  
Material security?  
Developmental needs and aspirations?  
Religious and cultural freedom?  
  1. To be safe and have a healthy environment
    Participants/supported employees have the right to be protected against services, situations, environments, behaviours and products which might injure them, adversely affect their health, put their lives at risk or damage their property.
Does our service provide participants/supported employees with: tick
Safe handling and storage of medications?  
Safety from abusive behaviour of other participants/supported employees and support staff?  
Safe and well-maintained premises?  
Duty of care in relation to service activities?  
  1. To have accurate information
    Participants/supported employees and their families and advocates have the right to be given the facts and other information they need to make an informed choice about services they may wish to use. They can expect to be protected against dishonest or misleading statements, whether verbal or written.
Does our service provide participants/supported employees with: tick
Accurate information about our service to potential and existing participants/supported employees, including what we offers, our policies etc.?  
An understanding of the limits of our service and the assistance/support that will and will not be delivered to them?  
Individual plans to participants/supported employees, their family and advocates?  
Reasons in writing for decisions which affect participants/supported employees?  
  1. To be consulted and have choice
    Participants/supported employees have the right to express a view or preference and to participate in decisions that affect them.
Does our service provide participants/supported employees with: tick
Services, activities and products which meet their needs?  
Information about which life, employment and community participation skills to develop?  
How they will participate in your service and the community/employment?  
  1. To have quality of service
    Participants/supported employees have the right to quality in the service you provide and the products they use.
Does our service: tick
Meet the requirements of current legislation and standards?  
Meet the requirements of and continuously improve against the Disability Services Standards?  
Strive towards excellence and best practice?  
Support rather than compromise participants/supported employees rights to quality services.  
  1. To be represented
    Participants/supported employees have the right to have a voice in decision making that affects them. Where they cannot do this for themselves, they can expect to be represented by a peer, family, friend, support worker or advocate. They may choose to work with other participants/supported employees from your service, a peer support group or an advocacy group to present their needs and viewpoints to the service provider or other agencies.
Does our service: tick
Consult with participants/supported employees informally and formally about issues that affect them?  
Pass the views of participants/supported employees to government or other agencies where relevant?  
Encourage representation and support by peers, family, friends, caseworkers or advocates?  
  1. To have access to education about rights
    Participants/supported employees have the right to acquire the knowledge and skills necessary to be informed and assertive about the service they use, with support if necessary and to the level of their individual capacity. Participants/supported employees have the right to ask what their rights are in any situation, and to be supported to act on their rights.
Does our service: tick
Inform participants/supported employees of their rights, and particularly their right to have problems solved and make complaints?  
Encourage participants/supported employees to ask what their rights are in any given situation?  
Inform participants/supported employees that they have a right to be supported when trying to solve a problem or make a complaint?  
Provide discussion sessions, videos, or other training activities to develop Participants/supported employees understanding of their rights?  
Provide basic skills development on assertive communication, and the steps to take to resolve problems or complaints?  
Provide details to complainants of services they can access that may assist them in representing themselves or to raise issues with your service?  
  1. To participate socially and have social responsibilities
    Participants/supported employees have the right to participate as fully as possible in society, to live within the rules and laws of society, to contribute to social organisations and carry out responsibilities that contribute to society as a whole.
Does our service: tick
Identify how, where and when our participants/supported employees would like to participate more fully in society, through employment, community participation or other means?  
Provide information and help develop their knowledge about opportunities for participation, through employment or community activities?  
Support them in accessing relevant opportunities?  
Support them in understanding the rules and laws necessary for participation in society?  
Encourage them to be involved in issues and activities that contribute to the wellbeing of society, including volunteer work, employment and involvement on issues?  
  1. To be heard in relation to a problem and seek redress
    If participants/supported employees rights have been denied, they have the right to redress. They have the right to be heard in relation to their problem, the right to make a complaint, and the right to obtain a fair solution to the problem.
Does our organisation, as a service provider: tick
Actively seek information from participants/supported employees about issues and problems in order to take preventative action, individually or in group meetings?  

Seek advice from an independent person or the Complaints Resolution and Referral Service on issues that seem difficult to resolve?

LINK: For more information about the Complaints Resolution and Referral Service please see Section 3 Continuous improvement - Standard 7

 
Have a complaints handling policy and process with determined timeframes and regular reviews?  
Provide regular feedback to participants/supported employees, their families and advocates about issues identified and their resolutions?  
When there is a problem, do we encourage participants/supported employees to: tick
Express their needs and concerns to us, the service provider, and tell us what solution they think is acceptable?  
Ask someone to advocate for them, or support them while they talk to us, the service provider?  
Persist until the problem is fixed?  

Make a complaint to an appropriate external body or relevant agency if a problem is not resolved?

LINK: For information on possible referrals, please see External referrals of this toolkit

 
Follow the advice or recommendations of an external body in relation to a problem within your service?  

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Internal complaints processes

Part of your responsibility as a service provider is to support participants/supported employees rights by having a fair and accessible internal complaints process. The following information covers complaints handling and the features of a good complaints handling system.

Who can complain?

Anyone with a genuine concern in the subject matter of a complaint can make a complaint, whether as a participant/supported employee or on their behalf. Your service might receive complaints from:

What can they complain about?

You should accept complaints about any aspect of your service. Complaints could involve a diverse range of issues, including:

STOP!

Criminal allegations must be responded to immediately and treated as urgent. You must report the allegation to your contract manager at the Department of Families, Housing, Community Services and Indigenous Affairs (FaHCSIA) or the Department of Education, Employment and Workplace Relations (DEEWR).

Encourage the complainant to contact police. It is not your role to investigate criminal activity. It is the role of the police to do this sort of investigation. However, you have a duty of care to not expose the alleged victim or the alleged perpetrator to potential harm. Where safety of an individual is involved, ensure that the individual is never left alone with the alleged perpetrator in or out of work. Record the complaint in the complaints register and keep a file.

What happens to a complaint coming to your service?

This is a brief summary of how a complaints handling system might function. More details about developing a system and the actions that should occur at each step follow.

Diagram 4.1: How to handle a complaint

Description of Diagram 4.1

Diagram 4.1: How to handle a complaint

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Developing and implementing an effective complaints handling system

Use the information on the following pages to either develop complaints handling policies and procedures or review your existing system.

Developing a complaints handling policy

 

  1. More than 'just a policy' - a four part system
    Good complaints handling is not just about having a policy. The policy forms part of a system. This may involve a change in the way things have been done in the past.

Step one: Prepare communication and consultation

Step two: Develop the complaints handling policy

Step three: Develop the complaints handling procedures

Step four: Communicate constantly with your participants/supported employees and staff about the system, and what you learn from the system.

  1. What should a good complaints policy contain?
    A good complaints handling policy should outline your principles and approach to complaints handling, and alert staff, participants/supported employees and their support people to the existence of your complaint handling procedures.
Shaping or reviewing your policy statement

The guide is for developing a new policy or reviewing a existing policy. A sample policy is also provided that you might choose to adapt to your organisation. If you adapt an existing policy statement, think carefully about whether each statement applies to your organisation and is accurate for you, and if not, change it to reflect your organisation.

Steps to developing a policy

Diagram 4.2: Steps to developing a policy

Description of Diagram 4.2

 

Steps to developing a policy

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Checklist: Developing and reviewing your complaints policy

 

Check that you have the following elements: tick
1

Title of document

  • Complaints Policy Statement of [insert name of organisation]
 
2

Mission/purpose of the organisation

  • Brief statement of our organisation's Mission and Purpose
 
3

Statement of participants/supported employees rights to make a complaint in law

 
4

Definition of complaint

  • For example: Our service will consider anything as a complaint which participants/supported employees think is unfair or makes them unhappy with our service.
 
5

Statement of support for the law relating to participants/supported employees rights

  • For example: participants/supported employees have the right to raise complaints, issues and problems and have them resolved equitably and fairly, in a way that preserves their dignity.
 
6

Our organisation's commitment to welcoming and resolving complaints

For example:

  • Our policy states a clear commitment to a fair and efficient resolution of complaints.
  • Our policy declares that participants/supported employees have the right to complain and to have the complaint handled well.
  • This process is easy to follow and written in plain language or a format appropriate to the needs of participants/supported employees.
 
7

Reasons for the complaints management system

  • A statement of why a complaints mechanism is necessary, what the objectives are and why it is important to management, staff and participants/supported employees.
  • The words chosen reflect support for participants/supported employees rights and needs (fairness, equality, dignity, individuality, safety).
  • The statement states the importance of consultation with participants/supported employees in preventing and resolving problems, and establishes as a priority the need to encourage and act on participants/supported employees feedback.
 
8

Confidentiality

  • All staff involved in complaints handling treat all information as confidential. This means that the name or identity of the person complaining, or any other private information, will only be given to people who need to know it to deal with the issue.
  • Documents used in the process of resolving any complaint are distributed on a need-to-know basis only. The outcome of the investigation is also only given to people who need to know.
 
9

Freedom from victimisation or harassment

  • Complainants or other people who provide information are protected from any repercussions, reprisals or victimisation which may occur as a result of making a complaint.
  • The message that people will not be victimised for making a complaint is in all material for participants/supported employees.
  • The staff of our organisation understand what this means on a practical level and their behaviour reflects this.
 
10

Participants/supported employees right to be supported in the complaints process

  • Our organisation helps participants/supported employees formulate and lodge complaints.
  • Our organisation encourages advocates or families to assist in the complaints process, when participants/supported employees want this support.
  • Our organisation provides information to participants/supported employees and their supports about the role of the Complaints Resolution and Referral Service in handling unresolved participants/supported employees complaints.
 
11

Timely handling and speedy resolution

  • Our organisation ensures that staff deal with complaints in a timely manner. Our policy outlines 'reasonable' time frames that we have developed in consultation with participants/supported employees around different sorts of problems.
 
12

Recording, monitoring, making changes, reviewing

  • There is a commitment to use complaints to improve service quality.
  • There is a systematic way of recording and monitoring complaints received.
  • Our service reports on the operation of the complaints handling process, for example, at staff meetings and in annual reports.
  • Outcomes of complaints resolutions are communicated to the participants/supported employees and their support people.
  • There is a periodic review in consultation with participants/supported employees and their support people of complaints patterns to assess whether further work is needed on individual case plans or systemic issues that might affect more than one participant/supported employee, or more than one of our services.
 
13

Communication and follow-up

  • The complaints system was developed after wide consultation with staff, participants/supported employees and their references to ensure ownership and usefulness.
  • Our organisation and our participants/supported employees review the complaints system regularly to ensure that it is delivering effective outcomes.
  • The policy statement and the policy procedures are communicated in language and formats, with necessary individual support, to ensure that all participants/supported employees have the best possible chance to understand it.
  • Staff communicate a decision to participants/supported employees as soon as possible after a decision is made, and follow-up within a specified time period to see if the participant/supported employee is happy with the outcome.
 
14

Procedures

  • Our organisation has clearly written procedures for promoting, recording, registering, investigating and referring complaints.
 

Sample complaints handling policy

Mission and purpose

The complaints handling policy of an organisation should affirm the mission and purpose of an organisation, as well as affirming the rights of service users to make complaints about any elements of the service they receive. This sample complaint handling policy refers to a fictitious employment service - Work for All Australians.

Mission

The mission of Work for All Australians is to support people with disability to make informed choices about their employment, and to achieve work placements that reflect the capabilities of people with disability.

Purpose

The purpose of Work for All Australians is to assist people with significant disability prepare for, and to find and maintain employment in the general workforce. We will undertake this role by ensuring the appropriate training and support for people with disability to achieve their work goals, as well as supporting employers to employ and support people with disability.

Recognition

Work for All Australians recognises the rights of people with disability accessing their service - prior to intake, at intake, during service delivery and post service delivery - to raise any concerns or issues about the organisation, in accordance with the Disability Services Standards. Where the person with disability does not wish to complain directly to staff of Work for All Australians, every effort will be made to connect the participants/supported employees with the Complaints Resolution and Referral Service (CRRS). It is the policy of Work for all Australians to support a participants/supported employees right to be heard in relation to the service they are receiving or requiring, and to be supported in making a complaint about the service.

Principles

Work for all Australians believes that our policies, practices and procedures ensure that participants/supported employees rights are protected, that no one is discriminated against, abused or harassed, and that complaints are made without fear of victimisation.

Definition of complaint

Work for all Australians will consider anything as a complaint which participants/supported employees think is unfair or which makes them unhappy with our service.

Right to complain

Participants/supported employees and/or their support people have the right to raise complaints, issues and problems that they have with any aspect of our service, and to have them resolved equitably and fairly, in a way that preserves the dignity of the participants/supported employees.

The service will accept as a complaint any expression of dissatisfaction which a participant/supported employee, or any key stakeholder, has about the service.

The service will handle any expression of dissatisfaction with impartiality and there will be no retribution for complainants raising matters with the service.

Advocates and families are encouraged to be part of the complaints handling process, when participants/supported employees want support.

Complaints procedure

Work for all Australians has developed a system for complaints resolution in consultation with participants/supported employees wherever possible, and will communicate either verbally, in writing or in a format the participants/supported employees can understand at the earliest possible time after a decision is made.

Staff will follow up with the participants/supported employees within 10 days to see if they are happy with the outcome.

Recording of complaints

All complaints will be recorded and monitored because complaints provide opportunities to review current procedures or practices and can improve service quality for all participants/supported employees.

Review

This document will be reviewed annually and will be updated as required.

Note: while this covers all the basic elements of the checklist, it is quite a brief policy. You may need to add more detail to suit your particular organisation. You may wish to consider having two policies. A short, simple one for your participants/supported employees, and a more detailed one for your staff.

 

1 The following pages are adapted from Community Services Commission (NSW), Solving problems and handling complaints in community services: a guide for service providers, 2001.

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Next: 4.1a Developing and reviewing your complaints procedures

Previous: Part 4: Complaints and referrals