||To confirm the conditions of the users and analyze issues (assessment): They visit the users'
houses and confirm the physical conditions, the bodily motion capabilities in everyday life, family
situation, etc., of the users
||Design of a care plan: They hold meetings with those who will be in charge of the services and
devise care plans.
||Assistance for fulfilling the procedure for using the service: They coordinate communication with
the service providers so that services would be provided based on the care plans.
||Managing the implementation situation of the care plan: They manage the implementation of the plan
continuously to see whether the services have been provided according to the care plan and whether
there are any changes in the physical or mental conditions of the users. They visit the houses of
the users to interview them at least once a month.