Service Agreement
Support Worker

This Service Agreement (Agreement) is for

&

123 Support Services

Shop 5, 38 Princess Street

Bundaberg East, Qld 4670

07 4361 6848

admin@123supports.com

ABN: 14 930 943 229

(collectively the Parties).

This Agreement will commence on

The NDIS and this Agreement

This Agreement is made for providing support services under the Participant’s NDIS plan (NDIS Plan).

The Parties agree that this Agreement is made in the context of the NDIS, which is a scheme that aims to:

• support the independence and social and economic participation of people with disability; and

• enable people with a disability to exercise choice and control in the pursuit of their goals and the planning and delivery of their support services.

Schedule of support services

The Provider agrees to provide the Participant the support services (Services) for the duration (Duration) at the cost (Cost) listed in the Schedule of Services. All prices are GST inclusive (if applicable) and include the cost of providing the Services.

Additional expenses (i.e. things that are not included as part of a Participant’s NDIS Services) are the responsibility of the Participant and are not included in the cost of the Services. Examples include entrance fees, event tickets, meals, etc.

Assistance with Self-Care Activities – Standard

$ 70.23/hr Weekday Daytime

$ 77.38/hr Weekday Evening

$ 78.81/hr Weekday Night

$ 98.83/hr Saturday

$ 127.43/hr Sunday

$ 156.03/hr Public Holiday

$ 297.60/hr Night time Sleepover

$ 702.30 Establishment Fee

Access Community Social and Recreational Activities

$ 70.23/hr Weekday Daytime

$ 77.38/hr Weekday Evening

$ 98.83/hr Saturday

$ 127.43/hr Sunday

$ 156.03/hr Public Holiday

$ 702.30 Establishment Fee

Assistance with Self-Care Activities – Intensive & Complex Behaviours

$ 75.98/hr Weekday Daytime

$ 83.72/hr Weekday Evening

$ 106.93/hr Saturday

$ 137.87/hr Sunday

$ 168.81/hr Public Holiday

$ 702.30 Establishment Fee

Access Community Social and Recreational Activities – Intensive & Complex Behaviours

$ 75.98/hr Weekday Daytime

$ 83.72/hr Weekday Evening

$ 106.93/hr Saturday

$ 137.87/hr Sunday

$ 168.81/hr Public Holiday

$ 702.30 Establishment Fee

Daytime hours are 6:00am to 8:00pm

Evening hours are 8:00pm to 12:00am

Night hours are 12:00am to 6:00am

Night-Time Sleepover are 10:00pm to 6:00am

Travel fees

For travel to a Participant, appointment or from one participant appointment to another, the Provider is entitled to claim up to 10 minutes of time against the next appointment at the Cost for the relevant Service. Return travel from the final appointment in a day may also be claimed. Providing community access Services may, at the request of the Participant, involve a worker accompanying the Participant on a community outing and/or transporting the Participant from their home to the community. In these situations, the provider is entitled to claim the Cost for the relevant Service for the total time the worker provides the Service to the Participant, including time spent accompanying and/or transporting the Participant.

In addition to the above Costs, the Participant/Participant’s Representative must reimburse the Provider for any expenses incurred when accompanying and/or transporting the Participant in the community (such as cost of ticket for public transport e.g. go card) plus a 10% administration fee. The amount of $1.00 per kilometre travelled will be claimed by the provider based upon the number of kilometre’s recorded as part of the provision of Services to the Participant.

Payments

The Provider will seek payment for their provision of Services after the Participant/Participant’s Representative confirms satisfactory delivery. Invoice are sent to the Participant/Participant’s Representative. Payment is required within 7 days of invoice date.

The Participant is required to be Self Managed or Plan Managed through an accountant to manage the funding for Services provided under this Agreement. A Minimum fee of 1 hour is required for any service provided to participant, even if the service is under 1 hour.

Responsibilities of Provider

The Provider agrees to:

• review the provision of Services at least 6-monthly with the Participant;

• once agreed, provide Services that meet the Participant’s needs at the Participant’s preferred times;

• communicate openly and honestly in a timely manner;

• treat the Participant with courtesy and respect;

• consult the Participant on decisions about how Services are provided;

• give the Participant information about managing any complaints or disagreements and details of the provider’s cancellation policy (if relevant);

• listen to the Participant’s feedback and resolve problems quickly;

• give the Participant a minimum of 24 hours’ notice if the Provider has to change a scheduled appointment to provide Services;

• give the Participant the required notice if the Provider needs to end the Agreement (see ‘Ending this Service Agreement’ below for more information);

• protect the Participant’s privacy and confidential information;

• provide Services in a manner consistent with all relevant laws, including the National Disability Insurance Scheme Act 2013 and rules, and the Australian Consumer Law; keep accurate records on the Services provided to the Participant; and

• issue regular invoices and statements of the Services delivered to the Participant.

Responsibilities of the Participant/Participant’s Representative

The Participant/Participant’s Representative agrees to:

• inform Provider about how they wish the Services to be delivered to meet the Participant’s needs;

• treat the Provider with courtesy and respect;

• talk to the Provider if the Participant has any concerns about the Services being provided;

• give the Provider a minimum of 24 hours’ notice if the Participant cannot make a scheduled appointment;

• and if the notice is not provided by then, the Provider’s cancellation policy will apply;

• give the Provider the required notice if the Participant needs to end the Agreement (see ‘Ending this Service Agreement’ below for more information); and

• let the Provider know immediately if the Participant’s NDIS Plan is suspended or replaced by a new NDIS Plan or the Participant stops being a participant in the NDIS.

Indemnity

The Participant/Participant’s Representative must indemnify and hold the Provider harmless from and against all claims and losses arising from loss, damage, expense, liability, injury to the Participant, by reason of or arising out of the services supplied to the Participant by the Provider within or outside of the scope of this Agreement.

Changes to this Agreement

If changes to the Services or their delivery are required, the Parties agree to discuss and review this Agreement.

The Parties agree that any changes to this Agreement will be in writing, signed, and dated by the Parties.

Ending this Agreement

Should either Party wish to end this Agreement they must give 14 days notice. If either Party seriously breaches this Agreement the requirement of notice will be waived.

Feedback, complaints and disputes

If the Participant wishes to give the Provider feedback, the Participant can call 07 4361 6848 or email admin@123supports.com. If the Participant is not happy with the provision of Services and wishes to make a complaint, the Participant can call 07 4361 6848 or email admin@123supports.com.

Cancellation Policy

If the participant makes a short-notice cancellation, 24 hours before the service, the provider will charge 100% of the agreed price for the cancelled appointment. This fee may be charged against a participant NDIS Plan up to 12 times per year for personal care Services. For other cancellations, where the participant has provided notice of cancellation 24 hours before the scheduled service, the provider will not charge a cancellation fee. Where a participant fails, at short-notice or without notice, to keep the scheduled arrangement for the support, the provider

will make every effort to contact the participant to determine if there is an additional problem (e.g. the person has fallen out of bed and cannot raise an alarm, or there is a sudden breakdown in the informal Services and additional support is likely to be required). Where there is a specific risk that a participant will frequently make short-notice cancellations for a support due to the nature of a person’s disability or the nature of the support (e.g. behaviour intervention Services), the provider will make individual arrangements to minimise the number of cancellations.

Contacting 123 Support Services

Participants are able to contact the office, staff and management during business hours of 9:00am to 3:00pm on weekdays. The participant can leave a message after hours and a staff member will contact the participant during business hours. The participant is welcome to contact 123 Support Services via email at any time, however may only receive a response during business hours. If requested by the participant, 123 Support Services staff members can contact the participant during requested times.

Contact details

The Participant can be contacted on:

The Provider can be contacted on:

Contact details: Tracey Riley / Karlie Schmidt

Contact Phone #: 07 4361 6848

Address: Shop 5, 38 Princess Street

Bundaberg East Qld 4670

Email: admin@123supports.com

Agreement signatures

Date of this Agreement: