Person Served
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)
What is your data system capable of supporting?
4.1.2 Outcome Data Collection System
Outcome monitoring, evaluation, and quality improvement
What is the practice that is in place to monitor the involvement of staff with person’s served financial affairs?
2.1.6 Limits to Involvement with the Financial Affairs of a Person Served
Describe to practice around:
How often is your disaster or emergency plan for each program or services reviewed?
6.1.2 Emergency Response Planning
Every 4 years
Describe the practice to provide regular supervision?
How often does this occur?
8.2.7 Supervision
Frequency that matches policy type of supervision provided.
What types of positive methods are used to influence the behavior of persons served?
x.18.1
1. Describe various ways in which they engage PS in a positive manner.
2. Describe methods used such as:
a. Capacity building
b. Relational response
c. Strength based
d. Rewards
How does the organization address the following types of outcomes:
4.2.3 Identification of Outcomes Achieved
A clear understanding of these types of outcomes and how they are used within the review of services and policy development.
What is the procedure that is in place to monitor access to person served and personnel file?
3.1.2 Access to Information
How do you ensure that program keeps dangerous equipment safely secured?
x.16.5
1. Safety hazard check
2. Toxic material locked
3. Dangerous equipment not left unattended
4. Weapons/ammunition secured
What are the conditions in which would be acceptable for personnel to give or receive gifts from person’s served? 5.2.1 Conflict of Interest
Program’s policy will define response.
if "yes" describe current practice - examples
What do you have to consider when planning a recreational activity?
x.26.2
1. PS can understand and follow guidelines for safety
2. Functioning level
3. Health/capabilities
4. Fun and others skill development
How does the program communicate about its roles, programs and the outcome of its programs to the community?
4.4.2 Reporting Outcome Data to Community
1. Meeting the reporting and monitoring requirements of stakeholders and funders, and
2. Education to broaden the public’s awareness of the strengths, needs, and challenges of the persons served by the program
Please describe your quality improvement activities.
1.2.6 Support for the Quality Improvement Plan
Defining the roles and responsibilities at all levels of the organization
Involving various personnel from all levels of the organization
Incorporating current practice research on service delivery to improve organization
Describe how the organization evaluates and warns staff of potential risk associated with working with an at-risk person.
6.1.5 Duty to Warn
How goals are developed for the person served and who would be involved with this process?
How often does this happen?
x.7.5, x.7.6
1. Process to involve stakeholders in development of goals
2. How involvement is document
3. Who has access to the care plan
4. Timeline around development and review
What needs to be considered when collecting person served data?
4.1.1 Guidelines for Collecting Data
Are person served data ever use in research projects?
If so, what needs to be considered prior to start of a research project?
3.2.2 Informed Consent for Research
1. Participation is completely voluntary
2. Continuation of service is not dependent on participation
3. Honorariums and financial incentives are addressed
4. Informed written consent of the person served is required and will include:
a. Nature and purpose of the research
b. Clear description of possible risks or discomfort
c. Guarantee of confidentiality
d. Participant’s (or legal guardian’s) signature
What are your written policies and procedures regarding the use of tobacco and tobacco products?
7.1.2 Tobacco
1. Tobacco use by personnel, persons served, and guests on the organization’s grounds and within program spaces
2. Tobacco use in vehicles operated or contracted by the organization
3. Harm reduction strategies to address smoking and smoking cessation programs
4. Ceremonial uses of tobacco
What role do volunteers have to provide services directly to the person served?
What needs to be in place to support the volunteers and to recognize their contributions to the program?
8.1.11 Use of Volunteers
What kind of rights is explained to support the person served within the program?
x.8.1
1. Supports available through the program
2. Access to Aboriginal/cultural resources person
3. Confidentiality
4. Involvement in future planning
5. Access to advocate
How does the organization implement and monitor corrective action plans? Describe the process.
4.4.1 Correction Action Process
What is included in the risk management plan?
1.2.4 Risk Register
1. Risks identified on the risk register that are likely to happen or would have a severe impact on the organization
2. Proactive and reactive measures used to mitigate the identified risks
3. Persons or positions responsible for managing identified risks
4. Communication methods
5. Monitoring and evaluation of the effectiveness of the risk management plan
When you are evaluating risks and promoting workplace health and safety, what are some of the things you address but are not limited to?
6.1.4 Workplace Safety
• Protective clothing and equipment for personnel
• Workplace risk assessments
• Workload monitoring
• Stress management
• Personnel vaccination
• Prevention of manual handling* injuries
• Protection from occupational hazards
• Storage, handling, and disposal of toxic and flammable materials
• Storage and use of dangerous equipment and weapons (e.g., electric saw, drills, guns, darts, etc.)
What practices are in place for those who report concerns regarding the above or any other issue to the organization?
If staff reported something they believed was wrong how would the organization/program respond?
5.1.6 Whistleblowers