 | |  | |  | |  | |  | |  |
Resident Profile
· HRC Placement facilitator is to provide the resident’s guardian with a detailed ‘Profile’ of the resident.
· The guardian has up to a month to review and amend the profile. This will allow time for the guardian to review
files and conduct reviews with the resident’s caretaker.
· Attending Doctor writes up the medical aspect of the resident profile ensuring that a full description is provided of
the diagnosis, the current needs and expected future medical prognosis needs.
Resident Needs Analysis
· Once the profile is reviewed and any corrections are updated, the Placement Facilitator is to write up a ‘Needs
Analysis Report’ for the resident. This report will contain what supports and services are required to be in place in the
placement group home.
· The Needs Analysis is reviewed by the attending Doctor and staff and a case conference is conducted with the
guardians to ensure that all aspects of the resident’s health and care are duly recorded and agreed upon.
· The resident’s guardian has a month or a reasonable time period (schedules permitting) to review and correct the
Needs Analysis Report.
Housing Options
· Once the Needs Analysis report is complete, the Placement Facilitator will ‘short list’ those homes that meet the
support and services - minimum of three options presented to families
· The families have 90 days to review these three options – Can’t rush these things and must take into account the
time needed to check out the agencies. It’s a reasonable length of time.
· Placement facilitator makes arrangements for a meeting at a date, time and location convenient to the family
member – at least 2 weeks in advance, to review the short list of homes. This meeting will look at each home, the
supports, services, and all supporting documentation (see Group Home Supporting Documentation).
· Once an agreement is made that the group homes ‘appear’ to be suitable, then visits to the group homes will be
set up. The purpose of these meetings are for the resident’s family to ‘Interview’ the Group Home’s senior
management and review both the Profile and Needs Analysis Report in relation to these homes. During this review, it
will be expected that the Group Home Senior Management address all questions from the resident’s guardian. The
second part of the visit, will introduce all the staff that will be looking after the resident. It is expected that these staff
members be able to answer all support and service questions as well.
· Visits for the resident to all residences identified as suitable so that there is an opportunity for the resident to
experience their potential new home and, to the best of their ability, demonstrate an interest in or preference for these
homes
Transition to New Residence
· Should a residence be selected, the resident’s caregivers, doctors and the resident’s guardian will be involved
with the transition plan. This plan will outline visits required to get the resident used to the new home as well as staff.
These visits must be accompanied by the caretakers and guardians, if they so wish. Costs for travel and accommodation
of guardians will be covered by the Crown. The visits will consist of short visits, followed by day visits, followed by a
overnight visits as deemed necessary for the comfort of the resident. Depending on the resident’s ability to adapt,
these visits may take some time to get to the ‘overnight’ visit. A minimum of six months is required for this transition
period and this may be extended on a case-by-case based as needed. This duration is recommended in recognition of
the fact that many of the residents have spent all their lives at HRC and a move after this length of time and at this age
will be understandably traumatic and difficult.
· Proper transitioning of medical information from resident’s doctor to new doctor must be arranged in advance of
any move. The resident’s doctor must take part and NOT be eliminated from the process. The receiving doctor must
sign off on an agreement – he/she understands the needs of the patients, writes out a detailed plan for that patient that
both the HRC doctor and guardian agree to.
· The HRC doctor must provide at least 3 post visits to ensure that all is well with the move and make out a full
report and recommendations to either stay or return back to HRC.
· The HRC staff that know the resident best will make regular (biweekly) visits for the first three months (or when
requested by the agency or family) to ensure that the resident is adapting well and to check on the resident’s mental
and physical well-being
· The above post move items must be well documented and signoff as part of the move plan
· Should the resident not be able to adapt, the move will be CANCELLED.
List of Required Documents for New Residence
Accreditation and Licensing
· Must be licensed as a residential facility for the disabled and registered in the Municipality as such…with
appropriate registration with local police, hospitals and fire stations
· Must be able to produce licensing and accreditation to a provincial standard
General Background
· Number of residents – male, female, maximum, minimum and diagnoses
· Sleeping arrangements – space, ventilation, main floor
· Cleaning of home – schedule, by whom
· History of 911 calls and resolution
· Home inspections – frequency, findings, actions, follow-up
Financial
· Financial Statements for the past five years and financial credit rating from 3 credit bureaus.
· Financial funding for this move and subsequent plan for the additional funds. (Note these funds must solely be for
the support both current and future of our residents and NOT to pay off any outstanding debt or financial crisis of the
agency).
· Source of Revenue statement – next 3 years
· 10 year capital plan and required funding
· Complete listing of all assets, including date purchased, estimated useful life remaining
Standard Operating Procedures and Facility Maintenance
1. List of all operating contracts and terms
2. Last fire inspection date, and copy of report
3. Health Inspection Report
4. Safety Standards Policy and Documentation
5. Laundry – frequency, mending, ensuring clothes are returned to correct resident
6. Budget Allocation for home – breakdown by salaries, food, heat, light, community visits, etc.
7. All Standard Operating Procedures (SOP) including specialized conditions such as:
a. Medical emergencies
b. Behavioural issues
c. Power outage
d. Staff abuse/reporting
Medical Support
· Medical support contracts and terms (doctor, nurses, psychiatrist, dentist)
· General Practitioner – must have experience dealing with developmentally disabled and the particular physical
concerns of this resident
· Dentist – must have training and understanding of dealing with developmentally disabled, and able to provide
anaestestia if required and follow-up tracking of vital signs as needed, and as provided at HRC in their on-site infirmary
· Regular checkups are contracted and promised to be provided in the same frequency as provided as at HRC
including hearing, eyesight, physiotherapy and all other pertinent therapies
Safety
· Non-smoking policy
· Medications – storage, labelling, presentation
· Hot water temperatures and controls, testing of water by staff
·
Nutrition
· Food budget – purchase, quality, preparation, storage
· Garbage storage/ disposal
· Diet – weight maintenance
· Minced diets – balance of nutrition, dietician consulting
· Options for disliked foods
· Meals – assistance as needed, managing individual needs, supervision to ensure other residents don’t steal food
Personal Care
· Hair cuts – how arranged, familiarity with risk of health issues (e.g., Down Syndrome neck issues
·
Staffing
· WSIB- statement of claims and rating
· Staff – criminal and background checks – reports
· Staff list detailing years of experience, accreditations and length of service at current facility.
· Average turnover ratio, average length of stay.
· Alcohol policy
· Abuse by staff – surveillance/ policy/ action
· CPR training, fire safety, first aid
· Policy of ongoing and regular training
· Full-time/ part-time mix….number of supervisors
· Qualifications – minimum of DSW
· Use of Volunteers – screening, training, time limits of involvement
Recreational Activities
· The same number and quality of recreational activities are provided to the resident as was enjoyed at HRC (e.g.,
summer camps, with access for the disabled in the winter – ramps and physical lifts, weekly trips for bowling in a group,
biweekly trips to community events such as local fairs, etc.)
· Daily routine – entire day
· Outdoors – available space with the residence, supervision levels