WHO IS ACCREDITED?

Private Organization Accreditation

Stillwater-based FamilyMeans provides services in budget and credit counseling, mental health, collaborative divorce, caregiver support, youth programming, and an employee assistance program. 
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VOLUNTEER TESTIMONIAL

Jane Bonk, Ph.D., LCSW

Volunteer Roles: Commissioner; Evaluator; Lead Evaluator; Peer Reviewer; Team Leader

Dr. Jane Bonk is a team leader, evaluator, and commissioner who has led over 25 site visits for COA.
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Purpose

Individuals who receive Home Care and Support Services obtain a maximum level of independence, functioning, and health, and extend the time it is possible to live safely at home and in the community.

HCS 11: Training and Support

Care providers receive the training and support needed to demonstrate the required competencies for providing in-home services.

Interpretation: Organizations meet applicable state regulations for determining competency of home care providers, which can include passing a written examination. In some states, these occupations are open to individuals with no formal training, and on the job training is usually provided.

Research Note: Insufficient training and supervision have been noted as factors that generally contribute to in-home direct care staff performance and job satisfaction issues and high turnover.

Rating Indicators
1
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice standards.
2
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice standards; e.g.,
  • Minor inconsistencies and not yet fully developed practices are noted, however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations (HR 6.02) and training (TS 2.03); or
  • Active client participation occurs to a considerable extent.
3
Practice requires significant improvement, as noted in the ratings for the Practice standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • A number of client records are missing important information  or
  • Client participation is inconsistent; or
  • One of the Fundamental Practice Standards received a rating of 3 or 4.
4
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice standards; e.g.,
  • No written procedures, or procedures are clearly inadequate or not being used; or
  • Documentation is routinely incomplete and/or missing; or  
  • Two or more Fundamental Practice Standards received a rating of 3 or 4.

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    • Table of contents for all training topics
    • Training exemption criteria
    • Review of applicable home care competency state regulations
    • Review of documentation of training
    • Interview:
      1. Supervisors
      2. Personnel
    • Review personnel files

  • HCS 11.01

    As appropriate to the service, the training program includes and is not limited to:

    1. recognition of and procedures for emergency response and preparedness;
    2. maintenance of a clean, safe and healthy home environment;
    3. physical, psychological, emotional and developmental characteristics of the service population;
    4. reading and recording vital signs;
    5. communication of client information, needs, and status;
    6. observations and documentation of client status and care or service provided;
    7. universal precautions and basic infection control procedures; and
    8. provision of aid with activities of daily living.

    Note: Elements d and h apply to personal care aides only. 


  • HCS 11.02

    The organization provides an educational program for direct service personnel who work with individuals with special needs that emphasizes:

    1. attention to the physical, mental, social, economic, and emotional needs of the service population;
    2. recognition of problems and response to impending emergencies or crises;
    3. communication skills;
    4. knowledge of appropriate community resources; and
    5. provision of preventive and supportive services to ensure maximum participation and self-determination.

    Interpretation: Organizations serving populations such as individuals with HIV/AIDS, Alzheimer’s disease, developmental disabilities or youth and families will provide training specific to that population.

    NA The organization does not work with individuals with special needs.


  • FP
    HCS 11.03

    Personnel providing personal care aide services receive a minimum of 40 hours of training instruction.

    Interpretation: Training programs can continue after the worker begins providing services and does not necessarily need to be completed before service initiation.

    Interpretation: An organization may exempt care providers from completing applicable training requirements when competence in service areas is demonstrated.

    NA The organization provides homemaker services only.


  • FP
    HCS 11.04

    Personnel providing homemaker services receive a minimum of 8 hours of training instruction.

    Interpretation: Training programs can continue after the worker begins providing services and does not necessarily need to be completed before service initiation.

    Interpretation: An organization may exempt care providers from completing applicable training requirements when competence in service areas is demonstrated.

    NA The organization provides personal care aide services only. 


  • HCS 11.05

    All care providers receive continuing in-service education following completion of initial training requirements to ensure personnel are confident in their ability to provide quality support and assistance.

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