CARF ACCREDITATION

CARF ACCREDITATION

Question 1 - 10 • How do you get input from the people you support who are severely impaired or have limited communication skills?

Answer 1 – 10 What is: We meet with the person and the team who include the case manager, guardian, SC, staff and family members who know the person well, and discuss the wants and needs of the person. Pay attention to their non-verbal communication. (provide specific examples from the people you support)

Question 1 - 20 • How does Emmaus get input from parents, guardians or others about their satisfaction with the services you provide? What does Emmaus do with this information? Where can I find documentation about this? • (provide specific examples from the people you support)

Answer 1 – 20 • Satisfaction surveys are sent out and assessments are done each year at the support plan. The Support Coordinator uses this information to create the plan for the next year.

Question 1 - 30 • Tell me what kind of assistive technology we use for the people you support.

Answer 1 – 30 What is: • EXAMPLES: We use divided plates, lidded cups, communication devices, weighted silverware, bath chairs, hand rails, ramps, large buttons or switches on radios or sensory items. • (provide specific examples from the people you support)

Question 1 - 40 • Tell me about your system for addressing challenging behavior. Do we have anyone who has a plan that includes the use of restrictive procedures? Do we have rules about the use of such procedures? Where can I find documentation on this?

Answer 1 – 40 • In the support plan we have a section for a behavior plan. The team meets and creates a plan to address the special needs of the person. • All staff are Mandt Certified (provide specific examples from the people you support) .

Question 1 - 50 How does Emmaus support the individuals you serve to maintain a well balanced nourishing diet?

Answer 1 – 50 What is: • We have a nutritionist on staff (Alex) who works with the home managers and staff. Based on the dietary needs of the person and Physician orders, a meal plan is created and the staff in the home follows that menu • (provide specific examples from the people you support)

Question 2 - 10 How do you educate staff and clients about consumer rights?

Answer 2 – 10 • Staff attends an annual training on client’s rights and the staff and consumers do monthly meetings to discuss the rights of the clients. • (provide specific examples from the people you support)

Question 2 - 20 • What would the individuals you support do if they are unhappy with something here? How do you let them know what they can do about their grievance? Is there a formal grievance procedure?

Answer 2 – 20 • The person can talk with their RQM, Case Manager, Staff or family and let them know they are unhappy and the team will meet and work to solve the problem. They learn about how to do this in the client’s rights meetings held monthly. For the clients who do not have the ability to communicate effectively staff observation and advocacy will play a larger role.(provide specific examples from the people you support)

Question 2 - 30 • Tell me how what the individuals want in terms of where they live, with whom, what they do during the day, etc. has an impact on how you support them.

Answer 2 – 30 • Assessments are completed and team meeting are conducted to ensure clients preferences are integral in the supports provided. (staff respond to the clients personal interests and use activity calendars—offer choices throughout the day) • (provide specific examples from the people you support)

Question 2 - 40 • How is it decided who lives where and with whom?

Answer 2 – 40 • The Team meets with the management of the home and they decide on a placement that will benefit the person and the other members of the home. • People who know the client offer opinions and suggestions. We also offer short term transitional placements. • (provide specific examples from the people you support)

Question 2 - 50 • Tell me how the people here participate in relationships with friends and others in the community.

Answer 2 – 50 • We have people we support who have friends in the community that they go out to dinner with, invite over to spend the day and talk to on the phone. Do things in the community with friends. • (provide specific examples from the people you support)

Question 3 - 10 • What kinds of things does this organization do to ensure the safety of the people we serve?

Answer 3 – 10 • We have several types of training to ensure that staff can assist in an emergency. These include CPR, First Aid, Mandt, and annual Essentials Training: covers Health and Safety, Abuse and Neglect, Lifting safety. Staff is also trained on proper use of the lifts. • We also have forms to communicate unsafe practices or conditions (work orders) • (provide specific examples from the people you support)

Question 3 - 20 • Tell me about emergency drills. Who runs them, how often, how are they documented, what is done with the information gathered?

Answer 3 – 20 • The drills are completed once monthly by each shift, the person with that plus role completes the forms and they are turned into the HM. The Q goes over the drill and uses the information in the support plan to ensure that the person served is safe. • (provide specific examples from the people you support)

Question 3 - 30 • Tell me what kinds of internal/external inspections are conducted on this site? What self-inspections are done? What is done with health or safety hazards that are found?

Answer 3 – 30 • We do a monthly inspection as one of our plus roles. The home also gets inspected by the facilities dept. to check on the fire extinguishers and the homes alarm systems. If a hazard is found it is reported to the facilities dept. and the RQM. • (provide specific examples from the people you support)

Question 3 - 40 • Tell me what you do to protect yourself from the possibility of getting a disease when providing personal care. How is training for this handled?

Answer 3 – 40 • The staff use gloves when doing personal care and proper hand washing is also done. The staff is required to attend a health and safety class annually. We practice universal precautions! (treating all blood and body fluids as if they are infected.) • (provide specific examples from the people you support)

Question 3 - 50 • Where is the first aid kit at this site? Fire extinguisher? Gloves? CPR mask?

Answer 3 – 50 • The first aid kit is kept ________ , • Gloves are ___________, • CPR mask is __________. • There are fire extinguishers ________ and in the kitchen. • Know your home and prepare to show these locations! • (provide specific examples from the people you support)

Question 4 - 10 • Tell me how support plans are developed for the people you serve?

Answer 4 – 10 • The RQM asks people who know the person to do an assessment and then the team meets to form a plan for the upcoming year. The client, guardians, and people important to the client attend the meeting. • (provide specific examples from the people you support)

Question 4 - 20 • How do you determine the degree to which the outcomes and expectations stated in individual support plans of the people you serve were achieved?

Answer 4 – 20 • The outcomes are measured by the RQM through information gathered on the data sheets that are done daily by the support staff. This information is then reported in the RQM’s monthly report to the Case Manager. • (provide specific examples from the people you support)

Question 4 - 30 • How do you gather information from the folks you support about what they want out of life? Is this documented? How?

Answer 4 – 30 • Each year as the RQM works on the support plan he/she gathers assessments from the staff who works closely with the person to get this information. The assessments are in the chart. The VISION section of each plan addresses long-term goals. • (provide specific examples from the people you support)

Question 4 - 40 • Tell me about the outcome measurement system you use. (Agency Goals) What kind of information do you collect? What is done with the information collected? Where can I find documentation?

Answer 4 – 40 • We collect information pertaining to Agency Goals. (building relationships, community inclusion, developing social skills, fostering healthy relationships, and overall client satisfaction.) • The RQM uses the information to plan on what can be achieved for the next quarter and support plan year. The stats are maintained by Director of Quality and Staff Education. (Gretchen) • (provide specific examples from the people you support)

Question 4 - 50 • Tell me how you support the people you serve to learn new skills.

Answer 4 – 50 • The team (including the client) meets to discuss individual skills that the client would like to work on. The RQM with the help of the support staff sets up a plan to do the training. Data Sheets, Strategies, and criteria for completion or monitored to determine success or if the goal need to be restructured. (objectives) • (provide specific examples from the people you support)

Question 5 - 10 • What site training do you require of staff?

Answer 5 – 10 • Staff tour the home, meet the clients, and complete “Site Specific” training. • (provide specific examples from the people you support)

Question 5 - 20 • What kind of training do new employees receive? What kind of on going training is required? Offered?

Answer 5 – 20 • They get training in CPR, First Aid, Health and Safety, Clients Rights, HIPAA, Mandt, MO quality outcomes, ISP, seizures, hygiene of the people we serve, job duties, emergency procedures, Professionalism, Abuse/Neglect, Diversity, Words with Dignity, Observation Notes and Data Sheets, Fatal Four, PBS, Basic nutrition and food textures, Lifting, Oral Hygiene, Skin Care, and Training Requirements.

Question 5 - 30 Do you require training on using the wheelchair lift properly? How is this done? How is it documented

Answer 5 – 30 • The staff is trained on each van that they use and they sign a training roster for this. The trainer goes over all the steps for doing the tie downs and the basic van informationoutlined on the Shuttle Driving and Lift Van Training Form. The completed form is kept in the employees file in HR. • (provide specific examples from the people you support)

Question 5 - 40 • What kind of self-protection skills do you teach the clients you serve?

Answer 5 – 40 • For our clients, examples might be staying with staff while in the community. It could also include gentle reminders not to give personal information to strangers, asking who is there before opening the door, street crossing skills, etc. • (provide specific examples from the people you support)

CARF ACCREDITATION