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CS-CT Comprehensive Program Review: Community Strategies and Randi Mundell's Cluster

This comprehensive program review highlights the challenges and achievements of Community Strategies' CS-CT division, including staff shortages, team work, medication incidents, and staff training. The review also covers client-related activities and quality assurance.

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CS-CT Comprehensive Program Review: Community Strategies and Randi Mundell's Cluster

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  1. Community Strategies:Randi Mundell’s Cluster: CS CTSimsbury, Windsor and Manchester Comprehensive Program Review December 6, 2013 CS CT consumer received Gold Medal at the Special Olympics

  2. CLUSTER HIGHLIGHTS • Team work (staff shortages, turn over, investigations have led to programs being short staffed and the programs and staff pulled together to get through this rough time) • CS-CT has become its own entity as a CRJ division • Manchester, CT program opened on 8/9/13 • Coventry, CT program opened on 10/21/13 CHALLENGES • CS-CT is a new vendor for the CT Department of Disability Services and has faced many learning curves in all CRJ departments while becoming acclimated. • High number of Medication Incidents & Occurrences • High number of Elopements

  3. STAFFING Staff Turnover Rates Performance Evaluations Staff Training

  4. STAFF TURNOVER RATES(October 2012 – September 2013) Data obtained from HR Turnover Reports

  5. STAFF OVERDUE PERFORMANCE EVALUATIONSApril 2012 – September 2013 Data obtained from HR Department & HR Personnel Summary

  6. STAFF TRAINING HOURSApril 2013 – September 2013 • Total of 1,392.5 training hours were completed • Average of 61.1 hours (Simsbury); and 60.1 hours(Windsor) per staff over six months. • Average of 61.2 hours (Manchester) over two months (8/1-9/30/13) • Overall average of 61.1 hours per staff over six months. Data obtained from MMRs and HR Reports

  7. CLIENT RELATED • Clinical Hours • Elopements (Walk-Aways) • Medication • De-escalation and Restraints • Mainstream/Community Inclusion Activities

  8. CLINICAL HOURSApril 2012 – September 2013 Data obtained from MMRs

  9. Data obtained from MMRs

  10. MEDICATION INCIDENTS & OCCURRENCESApril 2013 - September 2013 • Total of 101 medication incidents and occurrences • Simsbury average per client over six months = 4.9; Windsor average per client over six months = 1.5; Manchester average per client over two months = .2; the Overall Average for CS CT is 2.1 per client over six months • 58 out of 101 medication incidents and occurrences or 57% are client refusals of psychotropic medications Data obtained from MMRs

  11. Data obtained from MMRs

  12. Client Activities Participated In and Offered (April 2013 – September 2013) COMMUNITY INCLUSION

  13. Client Activities Participated In and Offered (April 2013 – September 2013) MAINSTREAM ACTIVITIES

  14. QUALITY ASSURANCE • KEY MMR RESULTS • Action Plan: N/A • CS CT is a new cluster configuration. This is their first official CPR.

  15. KEY MMR RESULTS FOR CS CT As of September 30, 2013: Client Related: • 3/9 or 33.3% of the clients are in Day Programs • 3/9 or 33.3% of the clients are in school • 3/9 or 33.3% of the clients are in sheltered workshop/job training • 4 client incidents involving contraband • 7/9 or 78% of clients choosing healthy living opportunities within program Staff Certifications: • 43% certified in Medication Administration (Simsbury = 40%; Windsor = 63%; Manchester = 25%) • 100% certified in First Aid/CPR/AED and PAC/CPI

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