Granite Bay Connections (CONNECTIONS) has established standards for the provision of individual support services. These standards are summarized in the following paragraphs as a means of providing guidance to staff in the performance of their day-to-day job responsibilities. The Agency expects staff to use these standards as a service delivery guide, ensuring these services are provided in an effective, efficient, and responsive manner, to meet the needs of the supported individual.

  1. Hygiene
    1. Staff is expected to model appropriate hygiene at all times.
    2. All individuals supported by CONNECTIONS are guided to establish their own personal hygiene routines, choosing methods (i.e. shower vs. bath) to achieve the desired outcome. The individual may set their own schedule and change that schedule when ever and wherever they choose, as long as outcomes are achieved. Each individual will have an adequate supply of personal hygiene supplies.
    3. When an individual actively refuses to complete any part of his or her daily personal hygiene routine, the supporting staff person will make every effort to understand the reason for the refusal, encouraging reconsideration using reason rather than threats of punishment. Should the individual continues to refuse to follow established routines, a written note shall be entered in the daily log and the Program Manager (PM) will be notified. The PM will provide direction on the next steps to be taken. If the problem occurs several times in a single month the PM may establish a written program to address the problem notifying the parent/guardian. If the behavior adversely impacts or undermines the health of the consumer or others, a special team meeting will be held and consideration given to the establishment of a formal behavior plan. All formal programs, interventions, and plans shall be documented in the individual's record.
  2. Personal Appearance
    1. Staff will model appropriate dress/appearance at all times. Continuous training and modeling are an integral part of each staff person's responsibilities with regard to the personal appearance of the individuals served. Personal appearance can make a critical contribution to the individual's ability to get a job, gain acceptance in a volunteer assignment, or be accepted in a church or social group. Many individuals do not understand the connection between appearance and acceptance. Staff must help them make this connection on a daily basis.
    2. Clothing must be clean, neat, and appropriate to the season.
    3. Each individual will be assisted in maintaining a personal appearance that reflects individual tastes and preferences and which will enhance the individual's integration into the community.
  3. Household
    1. Each individual must have an opportunity to actively participate in household chores, including cooking and cleaning. For some individuals, the objective is to have the individual assume full responsibility for the completion of acceptable outcomes and to do so with minimal staff support. For other individuals, the goal may be as simple as getting the individual to help with a simple part of meal preparation. Staff is responsible for ensuring that a clean and healthy environment is maintained at all times.
    2. Periodically, the PM will perform routine physical inspection of the program environment to ensure all living areas are maintained in a reasonably clean and neat manner. Exceptions are permitted where this is part of the individual's formal program plan.
    3. House meetings are to be held bi-weekly. Minutes of the meeting are to be kept on site and can be reviewed by any/all team members. Questions that require an agency response shall be communicated to the PM in a timely manner.
    4. Meals must be planned and nutritious. When an individual loses or gains more than five (5) pounds of weight in a single month, the PM shall be informed. If necessary a physician or nurse will be consulted to determine whethera formal dietary plan or additional medical oversight is required.
    5. The preferences of the individual shall guide the planning of meals. A simple cook book easily understood by the supported individual and support staff must be available in each home. A basic inventory of food is to be kept at each home ensuring a two (2) day emergency supply and a three (3) day regular supply of bottled water and food stuffs. Where individuals purchase and prepare their own meals, documentation of food purchases is to be included as part of the individual's record.
  4. Transportation
    1. Individuals must be able to visit family, friends, and various community locations. CONNECTIONS will transport as necessary usually accessing staff vehicles for transport. Mileage will be paid when properly documented and reported in a timely manner. All staff persons are expected to possess a current license and carry sufficient automobile insurance.
    2. When weather conditions jeopardize health and safety, planned trips will be canceled with justification for such clearly noted in the log.
  5. Confidentiality, Professional Presentation, and Boundaries
    1. Individuals are to be treated as adults and spoken to, and about, with respect.
    2. Staff persons are not permitted to discuss the individuals or the nature of their services outside the context of their professional relationship. Staff persons are advised to be discreet, taking care not to share identifying information in public places or in front of others who do not have an explicit “need to know”.
    3. Staff persons are to demonstrate exemplary behavior when in the presence of individuals served. Personal concerns or professional grievances must not be shared in the presence of, or in ear shot of the supported individual, his/her family, or guardian. These types of staff behavior can cause feelings of insecurity, anxiety, anger, or confusion and undermine confidence in the staff team and Agency.
    4. Consumer information may be given only to those legally entitled to receive it. The individual has the right to request family, guardian, or advocate participation in the sharing of information. If the individual is not his own guardian, staff will duly inform the guardian prior to the release of any consumer information, supporting the guardian’s ultimate authority regarding the release of information.
  6. Training
    1. Support staff must complete all required training within initial three (3) months of hire. This training must necessarily include: basic orientation, introduction to development disabilities, social role valorization, understanding human behavior, medication administration, and non-violent crisis intervention. Staff persons are ultimately responsible for ensuring all training credentials are current/up-to-date.
    2. Regular staff will be compensated for participation in all mandatory training. Requests for participation in other training must be approved by PM prior to registration.
  7. Documentation/Communication
    1. Log entries must be made daily describing nature of support provided by staff and the consumer’s response to these supports.
    2. To ensure consistency across shifts, shift-change reports are to be made to alert oncoming staff to the needs of individuals. Staff are required to use approved reporting mechanisms (i.e. logs, data charts, emergency on-call system) to ensure adequate communication among all persons supporting the individual. Medication administration shall be documented on approved forms in the official record of each individual. Documentation must include a staff signature (initial) and date. Documentation shall be timely and accurate and readable; black ink is preferred.
  8. Health Care
    1. Each individual must have an annual physical and dental examination. Female consumers should also have annual OB/GYN examinations.
    2. All medical visits and recommendations for follow-up must becompleted as directed with appropriate notification provided to all parties (i.e. Area Agency, guardian, etc.).
    3. Each living arrangement will have disposable gloves and a first aid kit.
    4. All non-urgent medical needs shall be noted in the log and/or reported to the PM and/or nurse.
    5. Urgent medical needs shall be addressed at the local Emergency Room or by calling 911. All urgent medical situations shall be reported to the PM as soon as the safety of the individual has been assured.
  9. Recreation/Culture/Religion
    1. Each individual will be assisted in expanding his or her base of experiences ensuring recognition and exercise of personal choices in a meaningful way and to a meaningful extent.
    2. Each supported individual’s personal religious and cultural beliefs, practices, and preferences will be respected without equivocation, and not limited to include the celebration of holidays meaningful to the individual. The Agency and support staff will facilitate attendance at those weekly worship services requested by the individual.
  10. Exceptions
    1. Whenever there is a need to deviate from the above basic standards, approval must be received from the PM in consultation with the State Director. Approval of the exception shall be noted in the individual record.
 
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