Person Served
How do you make sure that persons served feel that they are being treated with dignity and respected?
x.8.12, x.8.14, x.8.13
Describe the activities:
1. Recruitment/training of staff
2. person served a central focus of program
3. Space reflective of diversity (cultural, ability, etc.)
4. Staff aware of the diverse population they serve
5. Provide examples how dignity and respect is shown within the delivery of services.
Does the program manage a wait list for potential admissions? If so, please describe how the list is managed and a file is considered open?
x.11.2
Describe the process to manage list.
Define when the file is open
What forms of monitoring are used within the program?
x.16.7
Describe type of audio/video monitoring that is done within the program (Live feed and recorded data)
How does the organization as a whole and the program specifically manage the collection of data?
3.1.1 Information Management Systems
Describe what information is tracked/or collected.
What does your written code of ethics (i.e., policies on conduct) outline?
Its duty to exercise due diligence and proper care regarding the professional conduct of its staff.
What is the practice within the program to support the persons served to have their voice heard?
x.8.5
Public and children's advocate office
Access to supports within their family or community
Describe how the program includes, supports and involves the person served to express their choice related to day- to- day decisions?
x.8.9
Describe the practice and the methods used to support the personal choice within day-to -day decisions (this will be dependent on age and functioning on the person served)
Are Chemical/ pharmacological restraints ever used within the program? If so, describe the situation and the process that was followed?
x.19.7
1. Describe if restraint do occur
2. If so, are able to speak to the process to monitor
3. The documentation and review around each event
Please describe the accountability structure to ensure that the data is complete, accurate and secure.
3.1.1 Information Management Systems
Who is responsible for management
Describe how information is monitor
How does the program ensure that employees are acting within their "scope of practice"?
Regulations/documents that lay out parameters of duties of their employees
1. Identify the parameter of a regulated professional staff
a. Registration
b. Professional Code of Ethics
2. Identify the parameter of an unregulated staff member
a. Job description
b. Code of Ethics
What is your role to support the person served to meet the needs?
x.8.6, x.8.7
Define the staff role
Assist person served
Education options
Assist in presentations of issues
Describe how the person served is informed of the program's services, procedures, and expectations?
x.14.1, x.3.3
1. Describe the document used to provide this information to the family and/or person served.
2. Program information provided to address:
a. Decision authority
b. Mandatory parts
c. Optional component
Are private vehicles ever used in the transportation of person served? Describe the process to ensure private and program vehicles used to transport person served are maintained for safety?
x.17.3, x.17.5
1. Confirm if private vehicles are used
2. Relate the practice for program vehicles to undergo:
a. Annual preventative maintenance
b. Visual checks for safety
3. Describe to method used to ensure private vehicles are maintained for safety.
What is the process to transport a file or confidential information?
3.1.1 Information Management Systems
How does the program ensure that personnel are maintaining professional boundaries?
The programs monitors the personnel in the following areas:
If a person served has a conflict in the program, how would you help them get it resolved?
x.8.4
1. Describe how the PS is informed of rights
2. Describe the process to resolve conflict from verbal to formal grievance
3. Identify time frame/ response
4. Assistance/ support the person served
What happens if someone does not sign or chooses to take back their consent?
x.3.6
1. PS is made aware of implications
2. Documented refusal on file
3. Staff can describe the process to seek consent for mandatory components of program.
If a person served presented with self-harming or suicidal behaviors, how would you respond?
x.15.5, x.15.6
1. Identification of behaviors
2. Required staff training provided
Define procedure to respond
a. Supervision
b. Checks
c. Cultural support
4. Notification
5. Documentation
6. Incident report completed and reviewed.
What is addressed within the Quality Improvement plan?
What would you do if you saw or heard about abuse or harassment within your organization/program?
How are persons served supported in their personal choice to connected to individuals, resources and opportunities outside of the program?
x.8.11, x.8.15, x.8.16, Adult programs x.8.17
1. What are the limits
2. Role of staff
3. Documented efforts
4. The role of the program to manage risk of the PS personal life choices ( Adults only )
5. Provide examples of activities/ resources used.
Describe how the program supports the PS in service delivery?
x.8.3
Describe the process to-
1. Respecting the dignity and values of persons served
2. Respecting the psychological, spiritual, social, physical, and cultural dimensions of the person served, and reflect an inclusive environment.
3. Promoting positive well-being through meaningful engagement and the application of appropriate and timely services to meet person served need.
4. Assisting persons served to meet their needs while also encouraging or teaching them to care for themselves to the best of their ability.
5. Informing and empower persons served to pursue individual autonomy and personally- directed outcomes.
Are searches used within the program? If so, what kind of searches are you permitted to use?
When would you do a search? How would you document it? How would a person served know you had done a search?
x.19.9
1. Define if searches are permitted
2. Parameters of search allowed- type
3. When can searches be done- reason for
4. Searches as part of program expectations
5. Limits placed around searches- no frisking, strip, etc.
6. Completion of incident report
7. Documentation to support person served was made aware of;
a. Reason for search
b. Informed of rights
If fundraising is undertaken by the organization, and if so, how is it implemented?
1. Ensuring financial accountability for all solicited funds
2. Identifying the means to provide information to donors and community members when requested, including a complaints procedure
3. Ensuring that the governing board or Program Manager reviews its fundraising activities at least annually
4. Protecting the privacy rights of donors when soliciting funds
5. Ensuring that solicitations made by fundraisers:
a. Disclosure of the organization’s name and the purpose for which the funds are requested
b. Respect the dignity and privacy of those who benefit from the organization’s activities
c. Declaring that funds will be spent on the purposes for which they were solicited, excluding reasonable costs for the fundraising activities; if alternative uses of the funds are needed, the organization will consult with donors where possible
4. Respect the requests of the donors in regards to preferences in communication
How does the Organization involve the community in activities which allow for feedback to support the development of policy?