Standards for public agencies

2020 Edition

Home Care and Support Services (PA-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.
2020 Edition




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.
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
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