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"Palvelun kohteena on vammaispalvelun asiakas, jonka vammaisuuden perusteella j\u00e4rjestett\u00e4vist\u00e4 palveluista ja tukitoimista annetun lain (j\u00e4ljemp\u00e4n\u00e4 vammaispalvelulain) 8 \u00a7:n mukainen palveluasuminen toteutetaan kotona hoivaringin avulla. Hoivaringin palvelun tarve on seitsem\u00e4n\u00e4 p\u00e4iv\u00e4n\u00e4 viikossa ymp\u00e4ri vuorokauden. Hoito toteutuu paitsi asiakkaan kotona my\u00f6s tarvittaessa kodin ulkopuolella (esimerkiksi asiointik\u00e4ynnit ja muu tavanomainen arjessa tapahtuva toiminta).",
"",
"Palvelun sis\u00e4lt\u00f6 m\u00e4\u00e4ritell\u00e4\u00e4n tarkemmin asiakkaan hoito- ja palvelusuunnitelmassa ja palvelua tilataan hoito- ja palvelusuunnitelman mukaan. Palveluntarvetta arvioidaan asiakkaan tilanteen ja hoidontarpeen muuttuessa tarvittaessa.",
"",
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"justification": [
"Kauniaisten kaupungin sosiaali- ja terveystoimi tekee yksitt\u00e4ist\u00e4 asiakasta koskevassa sosiaali- ja terveyspalveluhankinnassa suorahankinnan, koska tarjouskilpailun j\u00e4rjest\u00e4minen johtaisi kyseisen asiakkaan kohdalla ep\u00e4tarkoituksenmukaiseen tilanteeseen, kun asiakkaan nimenomaisesta toiveesta on vaihdettu palveluntuottaja palvelun sujuvuuden ja turvallisuuden varmistamiseksi. Koska uusi hoito- ja asiakassuhde on k\u00e4ynnistynyt my\u00f6nteisell\u00e4 tavalla, olisi palvelun tarjoajan vaihtaminen ilmeisen kohtuutonta. ",
"",
"Hoivaringin palvelun tarve on seitsem\u00e4n\u00e4 p\u00e4iv\u00e4n\u00e4 viikossa ymp\u00e4ri vuorokauden. Hoivaringit hoitajat ovat viikon jokaisena p\u00e4iv\u00e4n\u00e4 sek\u00e4 p\u00e4ivisin ett\u00e4 \u00f6isin paikalla perheen kotona ja osana arkip\u00e4iv\u00e4ist\u00e4 el\u00e4m\u00e4\u00e4, joten on erityisen t\u00e4rke\u00e4\u00e4, ett\u00e4 asiakkaan toiveita kuullaan ja huomioidaan mahdollisimman paljon palvelun toteuttamisessa. ",
"",
"Sosiaalihuollon yleis- ja erityislains\u00e4\u00e4d\u00e4nn\u00f6ss\u00e4 s\u00e4\u00e4det\u00e4\u00e4n velvoittavasti k\u00e4ytt\u00e4jien erityistarpeiden huomioimisesta ja kuulemisesta. Hankintalain 108 \u00a7:n mukaan kyseisen luvun mukaisissa palveluhankinnoissa hankintayksik\u00f6n on otettava huomioon kyseist\u00e4 palvelua koskeva lains\u00e4\u00e4d\u00e4nt\u00f6. Sosiaali- ja terveyspalvelujen hankinnassa palvelun k\u00e4ytt\u00e4jien yksil\u00f6llisten ja pitk\u00e4aikaisten sek\u00e4 toistuvien hoito- tai sosiaalipalvelujen turvaamiseksi hankintayksik\u00f6n on otettava huomioon k\u00e4ytt\u00e4jien erityistarpeet ja kuuleminen siten kuin muualla laissa s\u00e4\u00e4det\u00e4\u00e4n. Pitk\u00e4kestoisia hoito- ja asiakassuhteita koskevan sosiaali- ja terveyspalvelun hankinnassa hankintayksik\u00f6n on m\u00e4\u00e4ritett\u00e4v\u00e4 sopimusten kesto ja muut ehdot siten, ett\u00e4 sopimuksista ei muodostu kohtuuttomia tai ep\u00e4tarkoituksenmukaisia seurauksia palvelun k\u00e4ytt\u00e4jille.",
" ",
"Hankintalain 110 \u00a7:n mukaan hankintayksikk\u00f6 voi tehd\u00e4 suorahankinnan yksitt\u00e4isiss\u00e4 tapauksissa sosiaali- ja terveyspalveluhankinnoissa, jos tarjouskilpailun j\u00e4rjest\u00e4minen tai palvelun tarjoajan vaihtaminen olisi ilmeisen kohtuutonta tai erityisen ep\u00e4tarkoituksenmukaista asiakkaan kannalta merkitt\u00e4v\u00e4n hoito- tai asiakassuhteen turvaamiseksi. ",
" ",
"Sosiaalihuoltolain 4 \u00a7:n mukaan on kiinnitett\u00e4v\u00e4 huomiota siihen, ett\u00e4 valittu ratkaisu turvaa asiakkaan ja h\u00e4nen l\u00e4heistens\u00e4 hyvinvoinnin, tarpeisiin n\u00e4hden oikea-aikaisen, oikeanlaisen ja riitt\u00e4v\u00e4n tuen, mahdollisuuden osallistumiseen ja vaikuttamiseen omissa asioissaan ja asiakassuhteen luottamuksellisuuden ja yhteistoiminnan asiakkaan kanssa. "
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"dateCreated": "2021-04-16T10:45:49.5190463",
"dateModified": "2021-04-21T07:00:14.8520754"
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